Organization
EAGLESCOVE VILLA ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA EVADNE HYMAN (ADMINISTRATOR)
(954) 583-0702
Entity
Organization
Contact information
Practice address
3221 GLENDALE BLVD, FT LAUDERDALE, FL 33312-1940
(954) 583-9702
(954) 583-0786
Mailing address
3221 GLENDALE BLVD, FT LAUDERDALE, FL 33312-1940
(954) 583-0702
(954) 583-0786
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10618
FL
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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