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Organization

OAK CREEK COTTAGE, LLC

Active
Other names
The Stone House 2, The Stone House
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA ATKINSON CRNA (DIRECTOR/OWNER)
(561) 818-5760
Entity
Organization

Contact information

Practice address
13545 78TH PL N, WEST PALM BEACH, FL 33412-2132
(561) 818-5760
Mailing address
13545 78TH PL N, WEST PALM BEACH, FL 33412-2132
(561) 818-5760

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
06/08/2023
Last updated
06/08/2023
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