Organization
SL PRESIDENTIAL LLC
Active
Other names
Presidential Place
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET ELIZABETH PARKS (ALF ADMINISTRATOR)
(954) 894-0059
Entity
Organization
Contact information
Practice address
3880 S CIRCLE DR, HOLLYWOOD, FL 33021-8622
(954) 894-0059
(954) 894-1943
Mailing address
3880 S CIRCLE DR, HOLLYWOOD, FL 33021-8622
(954) 894-0059
(954) 894-1943
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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