Organization
ROYAL MG3 OF DAVIE, OPCO, LLC
Active
Other names
Oakmonte VIllage of Davie
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVI BITTAN (MANAGER)
(305) 944-7988
Entity
Organization
Contact information
Practice address
8201 STIRLING RD, COOPER CITY, FL 33328-6009
(954) 982-2323
Mailing address
8201 STIRLING RD, COOPER CITY, FL 33328-6009
(954) 982-2323
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
12960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020500600
—
FL
Enumeration date
02/08/2018
Last updated
02/08/2018
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