Organization
GRAND COURT W OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GRAJALES (PROJECT MANAGER)
(347) 988-4535
Entity
Organization
Contact information
Practice address
295 SW 4TH AVE, POMPANO BEACH, FL 33060-6933
(718) 840-3355
Mailing address
2357 60TH ST, BROOKLYN, NY 11204-2689
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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