# PALM COURT NH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WILTON MANORS HEALTH & REHABILITATION CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386691749
- **Authorized official:** MR. WILLIAM P MANDO (CFO)
- **Authorized official phone:** (813) 635-9500

## Contact information

- **Practice address:** 2675 N ANDREWS AVE, WILTON MANORS, FL 33311-2509
- **Practice address phone:** (954) 563-5711
- **Practice address fax:** (954) 563-5729
- **Mailing address:** 2675 N ANDREWS AVE, WILTON MANORS, FL 33311-2509
- **Mailing address phone:** (954) 563-5711
- **Mailing address fax:** (954) 563-5729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | SNF14050963 | FL | Yes |

## Other

- **Enumeration date:** 05/30/2006
- **Last updated:** 08/22/2020