Organization
AVALON PARK RETIREMENT RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGGIE KULNICK (VP)
(954) 981-4822
Entity
Organization
Contact information
Practice address
600 N 62ND AVE, HOLLYWOOD, FL 33024-7857
(954) 981-4822
(954) 963-9561
Mailing address
600 N 62ND AVE, HOLLYWOOD, FL 33024-7857
(954) 981-4822
(954) 963-9561
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6653
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693228200
—
FL
Enumeration date
06/11/2008
Last updated
06/11/2008
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