Individual
MRS. EVITA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STANDARD CARE ALF
Contact information
Practice address
2233 MCKINLEY ST, HOLLYWOOD, FL 33020-3054
(954) 922-0808
(954) 922-0882
Mailing address
2233 MCKINLEY ST, HOLLYWOOD, FL 33020-3054
(954) 922-0808
(954) 922-0882
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
7096
FL
385H00000X
Respite Care
7096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100938600
—
FL
Enumeration date
09/12/2018
Last updated
12/08/2018
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