Organization
KOZIE KOTTAGE ALF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY REYES (ADMINISTRATOR)
(561) 236-9100
Entity
Organization
Contact information
Practice address
12576 54TH ST NORTH, WEST PALM BEACH, FL 33411
(561) 236-9100
Mailing address
12576 54TH ST NORTH, WEST PALM BEACH, FL 33411
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12633
FL
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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