Organization
KEYSTONE HALLS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD S MALEC (CHEIF EXECUTIVE OFFICER)
(954) 763-2300
Entity
Organization
Contact information
Practice address
1420 SW 3RD AVE, FORT LAUDERDALE, FL 33315-1509
(954) 763-2300
Mailing address
1420 SW 3RD AVE, FORT LAUDERDALE, FL 33315-1509
(954) 763-2300
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1706AD576001
FL
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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