Organization
GV BOYNTON BEACH, LLC
Active
Other names
Grand Villa of Boynton Beach
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS FORTE (AUTHORIZED AGENT)
(727) 726-3980
Entity
Organization
Contact information
Practice address
13770 58TH ST N, SUITE 312, CLEARWATER, FL 33760-3759
(727) 726-3980
Mailing address
1935 S FEDERAL HWY, BOYNTON BEACH, FL 33435-6967
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8186
FL
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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