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Organization
ROYAL MG3 OF DAVIE, OPCO, LLC
Active
Organization
ROYAL MG3 OF DAVIE, OPCO, LLC
Active
Other names
Oakmonte VIllage of Davie
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVI BITTAN (MANAGER)
(305) 944-7988
Entity
Organization
Contact information
Practice address
8201 STIRLING RD, COOPER CITY, FL 33328-6009
(954) 982-2323
Mailing address
8201 STIRLING RD, COOPER CITY, FL 33328-6009
(954) 982-2323
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
12960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020500600
—
FL
Enumeration date
02/08/2018
Last updated
02/08/2018
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