Organization
CONTINUAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL BRADSHAW (OWNER)
(954) 281-5079
Entity
Organization
Contact information
Practice address
9360 NW 20TH ST, PEMBROKE PINES, FL 33024-3112
(954) 281-5079
Mailing address
9360 NW 20TH ST, PEMBROKE PINES, FL 33024-3112
(954) 281-5079
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12783
FL
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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