Organization
COOLIDGE PALMS ASSISTED LIVING RESORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE ELLENBOGEN (ADMINISTRATOR)
(954) 266-4015
Entity
Organization
Contact information
Practice address
2057 COOLIDGE ST, HOLLYWOOD, FL 33020-2427
(954) 266-4015
Mailing address
2057 COOLIDGE ST, HOLLYWOOD, FL 33020-2427
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12022
FL
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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