Organization
NOVA PALMS ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALA DIANE WILLIAMS (PRESIDENT/ADMINISTRATOR)
(954) 789-6517
Entity
Organization
Contact information
Practice address
1600 TAFT ST, ALF UNIT, HOLLYWOOD, FL 33020-3272
(954) 362-3487
(954) 362-3489
Mailing address
1600 TAFT ST, ALF UNIT, HOLLYWOOD, FL 33020-3272
(954) 362-3487
(954) 362-3489
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12023
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003479800
—
FL
Enumeration date
05/28/2014
Last updated
05/28/2014
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