Organization
PETER THE GREAT II LLC
Active
Other names
Hollywood Beach Retirement Home II
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID AVERBUKH (OWNER)
(917) 913-9966
Entity
Organization
Contact information
Practice address
1722 MADISON ST, HOLLYWOOD, FL 33020-5537
(954) 923-1726
(954) 923-8535
Mailing address
1722 MADISON ST, HOLLYWOOD, FL 33020-5537
(954) 923-1726
(954) 923-8535
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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