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Organization
SUN COAST RESIDENTIAL CARE, INC
Active
Organization
SUN COAST RESIDENTIAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY MUTHRA (ADMINISTRATOR)
(954) 458-3770
Entity
Organization
Contact information
Practice address
813 SW 9TH ST, HALLANDALE BEACH, FL 33009-6811
(954) 458-3770
(954) 458-7370
Mailing address
813 SW 9TH ST, HALLANDALE BEACH, FL 33009-6811
(954) 458-3770
(954) 458-7370
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9856
FL
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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