Organization
PALMS OF LAUDERDALE LAKES THE LLC
Active
Other names
The Palms Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TZVI BOGOMILSKY (AUTHORIZED MEMBER)
(305) 401-7901
Entity
Organization
Contact information
Practice address
3370 NW 47TH TER, LAUDERDALE LAKES, FL 33319-6701
(954) 733-0655
(954) 733-1521
Mailing address
1835 NE MIAMI GARDENS DR, #368, NORTH MIAMI BEACH, FL 33179-5035
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1098096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032153200
—
FL
Enumeration date
01/24/2007
Last updated
08/29/2013
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