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Organization
VILLA OF KINGS & QUEENS OF DELRAY INC.
Active
Organization
VILLA OF KINGS & QUEENS OF DELRAY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDMOND ETIENNE (VICE PRESIDENT)
(561) 450-8551
Entity
Organization
Contact information
Practice address
13415 BARWICK RD, DELRAY BEACH, FL 33445-1209
(561) 450-8551
Mailing address
PO BOX 581, NEW YORK, NY 10185-0581
(561) 450-8551
(561) 498-3870
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000089300
—
FL
Enumeration date
03/31/2009
Last updated
12/18/2009
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