Organization
CYPRESS PALACE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIERRE BOZOR (OWNER)
(305) 469-3482
Entity
Organization
Contact information
Practice address
1600 NW 121ST AVE, PEMBROKE PINES, FL 33026-2555
(305) 469-3482
Mailing address
1600 NW 121ST AVE, PEMBROKE PINES, FL 33026-2555
(305) 469-3482
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
05/01/2019
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