Organization
MAJESTIC CARE COOLIDGE LLC
Active
Other names
Coolidge Palms Assisted Living Resort
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAELA HERSKOVITZ (PRESIDENT)
(954) 266-4015
Entity
Organization
Contact information
Practice address
2057 COOLIDGE ST, HOLLYWOOD, FL 33020-2427
(954) 266-4015
Mailing address
7200 W CAMINO REAL, BOCA RATON, FL 33433-5511
(954) 266-4015
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12022
FL
3104A0625X
Assisted Living Facility (Mental Illness)
12022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12022
LICENCE
FL
Enumeration date
12/14/2015
Last updated
12/14/2015
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