Organization
SOS CHILDREN'S VILLAGE - FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH DUVERNAY (CHIEF EXECUTIVE OFFICER)
(954) 420-5030
Entity
Organization
Contact information
Practice address
3681 NW 59TH PL, COCONUT CREEK, FL 33073-4141
(954) 420-5030
(954) 420-5034
Mailing address
3681 NW 59TH PL, COCONUT CREEK, FL 33073-4141
(954) 420-5030
(954) 420-5034
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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