Organization
CYPRESS MANOR ASSISTED LIVING FACILITY 11
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LURLINE EVANS (ADMINISTRATOR)
(954) 825-8977
Entity
Organization
Contact information
Practice address
1910 NW 77TH AVE, MARGATE, FL 33063-6816
(954) 825-8977
(954) 978-4594
Mailing address
1910 NW 77TH AVE, MARGATE, FL 33063-6816
(954) 825-8977
(954) 978-4594
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009094200
—
FL
Enumeration date
09/04/2013
Last updated
06/30/2014
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