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Organization

PRIMARY PURPOSE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL K SOHR (EXECUTIVE ADMINITRATOR)
(954) 815-4967
Entity
Organization

Contact information

Practice address
2458 SW 42ND AVE, #3H, FT LAUDERDALE, FL 33317-6934
(954) 815-4967
(954) 327-8510
Mailing address
2458 SW 42ND AVE, #3H, FT LAUDERDALE, FL 33317-6934
(954) 815-4967
(954) 327-5810

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary

Other

Enumeration date
04/25/2012
Last updated
04/25/2012
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