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Organization
YMP GRAND COURT LAKES OPCO LLC
Active
Organization
YMP GRAND COURT LAKES OPCO LLC
Active
Other names
Grand Court Lakes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL POTTER (PRESIDENT)
(786) 220-8521
Entity
Organization
Contact information
Practice address
280 SIERRA DR, MIAMI, FL 33179-3897
(786) 520-3051
Mailing address
4500 N STATE ROAD 7 STE 100, LAUDERDALE LAKES, FL 33319-5868
(786) 220-8521
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/20/2021
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