Organization
SOMH BOCA RATON OPERATING, LLC
Active
Other names
The Meridian at Boca Raton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY JAMES VAUGHN (REIMBURSEMENT ANALYST)
(240) 595-6025
Entity
Organization
Contact information
Practice address
21865 PONDEROSA DR, BOCA RATON, FL 33428-6215
(561) 571-7018
(561) 482-5033
Mailing address
21865 PONDEROSA DR, BOCA RATON, FL 33428-6215
(561) 571-7018
(561) 482-5033
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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