Organization
HOLLYWOOD SA TENANT OPCO, LLC
Active
Other names
Presidential Place
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN KUTAC-WARD (CHIEF EXECUTIVE OFFICER)
(727) 220-4442
Entity
Organization
Contact information
Practice address
3880 S CIRCLE DR, HOLLYWOOD, FL 33021-8622
(954) 894-0059
Mailing address
3880 S CIRCLE DR, HOLLYWOOD, FL 33021-8622
(954) 894-0059
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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