# CAMELOT COURT

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

## Provider details

- **NPI number:** 1902238710
- **Authorized official:** MRS. RITA MARTIN (ADMINISTRATOR)
- **Authorized official phone:** (954) 614-7458

## Contact information

- **Practice address:** 2233 MCKINLEY STREET, HOLLYWOOD, FL 33020
- **Practice address phone:** (954) 922-0808
- **Practice address fax:** (954) 922-0882
- **Mailing address:** 2233 MCKINLEY STREET, HOLLYWOOD, FL 33020
- **Mailing address phone:** (954) 922-0808
- **Mailing address fax:** (954) 922-0882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | ALO7096 | FL | Yes |

## Other

- **Enumeration date:** 08/02/2013
- **Last updated:** 08/02/2013