Organization
EXQUISITE SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SMITH (OWNER)
(954) 274-6849
Entity
Organization
Contact information
Practice address
2616 WASHINGTON ST, HOLLYWOOD, FL 33020-5711
(954) 274-6849
Mailing address
2616 WASHINGTON ST, HOLLYWOOD, FL 33020-5711
(954) 274-6849
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11251
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11251
LICENSE
FL
Enumeration date
06/01/2012
Last updated
06/01/2012
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