Organization
CHRISTALLIS MANOR III
Active
Other names
Beachside Living LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMPARO DIERKING (OWNER)
(954) 274-5573
Entity
Organization
Contact information
Practice address
420 N RIVERSIDE DR, POMPANO BEACH, FL 33062-5035
(954) 274-5573
Mailing address
420 N RIVERSIDE DR, POMPANO BEACH, FL 33062-5035
(954) 274-5573
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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