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Organization

COLONIAL ASSISTED LIVING AT PALM BEACH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICKI KANETI (MANAGING MEMBER)
(954) 600-6333
Entity
Organization

Contact information

Practice address
2090 N CONGRESS AVE, WEST PALM BEACH, FL 33401-8210
(561) 214-4997
Mailing address
1280 HARBOR CT, HOLLYWOOD, FL 33019-5030
(305) 469-1600

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
06/23/2021
Last updated
06/23/2021
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