Organization
MAJESTIC ON THE RIVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAELA HERSKOVITZ (PRESIDENT)
(954) 266-4015
Entity
Organization
Contact information
Practice address
408 SW 7TH AVE, FORT LAUDERDALE, FL 33312-2567
(954) 266-4015
(954) 839-6229
Mailing address
7200 W CAMINO REAL, SUITE 200, BOCA RATON, FL 33433-5511
(954) 266-4015
(954) 839-6229
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6628
FL
3104A0625X
Assisted Living Facility (Mental Illness)
6628
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6628
LICENCE
FL
Enumeration date
11/18/2015
Last updated
11/18/2015
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