Organization
CORAL SPRINGS COUNTRY CLUB FOR SENIORS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRINEA A MATTIS MBA/HCM (ADMINISTRATOR)
(954) 839-4791
Entity
Organization
Contact information
Practice address
2903 NW 115TH TER, CORAL SPRINGS, FL 33065-3439
(954) 839-4791
Mailing address
2903 NW 115TH TER, CORAL SPRINGS, FL 33065-3439
(954) 839-4791
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10582
FL
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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