Organization
CAMELOT COURT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA MARTIN (ADMINISTRATOR)
(954) 614-7458
Entity
Organization
Contact information
Practice address
2233 MCKINLEY STREET, HOLLYWOOD, FL 33020
(954) 922-0808
(954) 922-0882
Mailing address
2233 MCKINLEY STREET, HOLLYWOOD, FL 33020
(954) 922-0808
(954) 922-0882
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
ALO7096
FL
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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