Organization
GV DEERFIELD BEACH, LLC
Active
Other names
Grand Villa of Deerfield Beach
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY SIZEMORE (OPERATIONS COORDINATOR)
(727) 726-3980
Entity
Organization
Contact information
Practice address
1050 SW 24TH AVE, DEERFIELD BEACH, FL 33442-7601
(954) 360-7667
(954) 360-7363
Mailing address
13770 58TH ST N, SUITE 312, CLEARWATER, FL 33760-3759
(727) 726-3980
(727) 726-5345
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL# 8697
FL
3104A0625X
Assisted Living Facility (Mental Illness)
AL# 8697
FL
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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