NPI 1083228332
Christallis Manor III
Practice location
- Address
- 420 N Riverside Dr, Pompano Beach, FL 33062-5035
- Phone
- (954) 274-5573
Authorised official
- Name
- Amparo M Dierking
- Title
- Administrator
- Phone
- (954) 274-5573
Registered specialties
Assisted Living Facility (Behavioral Disturbances)
Primary
Registry record
- NPI
- 1083228332
- Entity type
- Organization
- NPI issued
- 3 Sep 2020
- Record last updated
- 18 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.