Organization
AVERY COTTAGE ALF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YANICK DANTISTE APRN (OWNER/ADMINISTRATOR)
(561) 370-9907
Entity
Organization
Contact information
Practice address
4052 COLLIN DR, WEST PALM BEACH, FL 33406-4813
(561) 370-9907
(561) 434-1282
Mailing address
4052 COLLIN DR, WEST PALM BEACH, FL 33406-4813
(561) 370-9907
(561) 434-1282
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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