Organization
PRESTIGE PLACE ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KOREN NATALIE MCKENZIE-JOHN (ADMINISTRATOR)
(954) 632-5788
Entity
Organization
Contact information
Practice address
256 BARBAROSSA RD NW, PALM BAY, FL 32907-1809
(954) 632-5788
Mailing address
3900 NW 23RD PL, COCONUT CREEK, FL 33066-2266
(954) 632-5788
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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