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Organization
VIP CARE PAVILION, LLC
Active
Organization
VIP CARE PAVILION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PILAR CARVAJAL (AGENT)
(800) 475-9914
Entity
Organization
Contact information
Practice address
6810 SW 7TH STREET, MARGATE, FL 33068-2404
(954) 971-2286
Mailing address
6810 SW 7TH STREET, MARGATE, FL 33068-2404
(954) 971-2286
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
4783
FL
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4783
AHCA LICENSE NUMBER
FL
Enumeration date
03/21/2018
Last updated
05/17/2019
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