Organization
GRAND COURT ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BEER (OPERATOR)
(718) 705-9304
Entity
Organization
Contact information
Practice address
295 SW 4TH AVE, POMPANO BEACH, FL 33060-6933
(954) 942-3388
(954) 942-8901
Mailing address
295 SW 4TH AVE, POMPANO BEACH, FL 33060-6933
(954) 942-3388
(954) 942-8901
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5464
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL5464
PROVIDER LICENSE NUMBER
FL
Enumeration date
08/27/2013
Last updated
08/27/2013
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