Organization
POMPANO HOUSE SOUTH OPERATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHER SILVERBERG (OWNER)
(917) 232-8638
Entity
Organization
Contact information
Practice address
350 W HAINES BLVD, LAKE ALFRED, FL 33850-2718
(863) 956-8831
(863) 954-9141
Mailing address
350 W HAINES BLVD, LAKE ALFRED, FL 33850-2718
(863) 956-8831
(863) 954-9141
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10511
AHCA
FL
Enumeration date
09/14/2021
Last updated
09/14/2021
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