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Organization
PETER THE GREAT II LLC
Active
Organization
PETER THE GREAT II LLC
Active
Other names
Hollywood Beach Retirement Home II
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID AVERBUKH (OWNER)
(917) 913-9966
Entity
Organization
Contact information
Practice address
1722 MADISON ST, HOLLYWOOD, FL 33020-5537
(954) 923-1726
(954) 923-8535
Mailing address
1722 MADISON ST, HOLLYWOOD, FL 33020-5537
(954) 923-1726
(954) 923-8535
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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