Organization
RESIDENCE AT PADDOCK PARK, INC (THE)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLENE HERNANDEZ (OWNER/ ADMINISTRATOR)
(561) 906-4676
Entity
Organization
Contact information
Practice address
14622 PADDOCK DR, WELLINGTON, FL 33414-7822
(561) 791-2630
(561) 333-0613
Mailing address
14622 PADDOCK DR, WELLINGTON, FL 33414-7822
(561) 791-2630
(561) 333-0613
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11250/11737
FL
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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