Organization
HIDDEN PALMS ALF, LLC
Active
Other names
HIDDEN PALMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MANDO (CFO)
(813) 635-9500
Entity
Organization
Contact information
Practice address
2675 N ANDREWS AVE, WILTON MANORS, FL 33311-2509
(954) 563-2288
Mailing address
2675 N ANDREWS AVE, WILTON MANORS, FL 33311-2509
(954) 563-2288
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8749
FL
Other
Enumeration date
06/22/2007
Last updated
08/22/2020
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