Organization
GRAND BOULEVARD OPERATING INVESTMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB BENGIO (CFO)
(954) 300-3878
Entity
Organization
Contact information
Practice address
138 SANDESTIN LN, MIRAMAR BEACH, FL 32550-5815
(954) 300-3878
Mailing address
2901 STIRLING RD STE 200, FORT LAUDERDALE, FL 33312-6529
(954) 300-3878
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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