# PELICAN PALACE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548635790
- **Authorized official:** DR. VINETTE ALEXANDER DNP (ADMINISTRATOR)
- **Authorized official phone:** (954) 709-6545

## Contact information

- **Practice address:** 12335 NW 51ST ST, CORAL SPRINGS, FL 33076-3446
- **Practice address phone:** (954) 709-6545
- **Practice address fax:** (954) 369-4742
- **Mailing address:** 12335 NW 51ST ST, CORAL SPRINGS, FL 33076-3446
- **Mailing address phone:** (954) 709-6545
- **Mailing address fax:** (954) 369-4742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2015
- **Last updated:** 12/13/2015