Organization
NORTH LAKE RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PASCAL BERGERON (ASST ADM)
(954) 922-2643
Entity
Organization
Contact information
Practice address
1222 N 16TH AVE, HOLLYWOOD, FL 33020-3741
(954) 922-2643
Mailing address
1222 N 16TH AVE, HOLLYWOOD, FL 33020-3741
(954) 922-2643
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7395
FL
Other
Enumeration date
06/26/2007
Last updated
10/01/2007
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