Organization
SENIOR HOUSING MANAGEMENT PROVIDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKI KANETI (EXECUTIVE DIRECTOR)
(561) 659-9330
Entity
Organization
Contact information
Practice address
534 DATURA ST, WEST PALM BEACH, FL 33401-5308
(561) 659-9330
(561) 659-0732
Mailing address
534 DATURA ST, WEST PALM BEACH, FL 33401-5308
(561) 659-9330
(561) 659-0732
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7617
FL
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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