Organization
HOLLYWOOD PARADISE RESIDENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYVIE NOEL (OWNER)
(954) 624-5824
Entity
Organization
Contact information
Practice address
1700 N 47TH AVE, HOLLYWOOD, FL 33021-4122
(954) 624-5824
Mailing address
1700 N 47TH AVE, HOLLYWOOD, FL 33021
(954) 624-5824
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
11323
FL
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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