Organization
ROYAL PALM RESIDENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOT A BENNETT (ADMINISTRATOR)
(954) 920-0990
Entity
Organization
Contact information
Practice address
1961 SW 70TH AVE, PLANTATION, FL 33317-5032
(954) 920-0990
Mailing address
2751 S OCEAN DR APT 302S, HOLLYWOOD, FL 33019-2716
(954) 920-0990
(954) 920-0660
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL13112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024200900
—
FL
Enumeration date
06/13/2018
Last updated
06/13/2018
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