Organization
ST PAULS PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EBONY PACE CRAWFORD (VP)
(954) 962-2622
Entity
Organization
Contact information
Practice address
5400 PLUNKETT ST, HOLLYWOOD, FL 33021-8025
(786) 427-5258
Mailing address
5312 PLUNKETT ST, STE A, HOLLYWOOD, FL 33021-8024
(786) 427-5258
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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