Organization
KOZIE KOTTAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WENDY ROSEMARIE REYES (ADMINISTRATOR)
(561) 236-9100
Entity
Organization
Contact information
Practice address
12576 54TH ST N, WEST PALM BEACH, FL 33411-8512
(561) 236-9100
Mailing address
12576 54TH ST N, WEST PALM BEACH, FL 33411-8512
(561) 236-9100
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906562
FL
Other
Enumeration date
06/19/2013
Last updated
08/27/2013
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