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Organization
YMP CREST OPCO LLC
Active
Organization
YMP CREST OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL POTTER (PRESIDENT)
(786) 220-8521
Entity
Organization
Contact information
Practice address
5100 CRESTHAVEN BLVD, WEST PALM BEACH, FL 33415-8618
(561) 964-2828
Mailing address
5100 CRESTHAVEN BLVD, WEST PALM BEACH, FL 33415-8618
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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