Organization
VICTORIAN MANOR ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA A DARVILLE (OWNER)
(954) 682-9777
Entity
Organization
Contact information
Practice address
900 N 24TH AVE, HOLLYWOOD, FL 33020-3455
(954) 929-7009
(954) 922-8753
Mailing address
900 N 24TH AVE, HOLLYWOOD, FL 33020-3455
(954) 929-7009
(954) 922-8753
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
AL10816
FL
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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