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Organization

ESTATE MANOR INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS VERNA ELAINE ALEXANDER (PRESIDENT)
(954) 290-1230
Entity
Organization

Contact information

Practice address
7422 NW 66TH TER, TAMARAC, FL 33321-5201
(954) 818-1230
(954) 563-9336
Mailing address
7422 NW 66TH TER, TAMARAC, FL 33321-5201
(954) 818-1230
(954) 563-9336

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
FL

Other

Enumeration date
07/31/2012
Last updated
07/31/2012
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