Organization
THE HEALTH CENTER OF COCONUT CREEK, INC.
Active
Other names
The Health Center of Coconut Creek
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN P. CORLEY NHA (ADMINISTRATOR)
(954) 968-8333
Entity
Organization
Contact information
Practice address
4125 W. SAMPLE RD, COCONUT CREEK, FL 33073
(954) 968-8333
(954) 968-6898
Mailing address
4125 W. SAMPLE RD, COCONUT CREEK, FL 33073
(954) 968-8333
(954) 968-6898
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130470979
FL
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02265100
—
FL
05
—
022658100
—
FL
01
—
L9C
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/19/2006
Last updated
02/25/2010
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