NPI 1104037787

Palm Manor INC (the)

Organisation Assisted Living Facility Miramar, FL

Practice location

Address: 6609 SW 20th St, Miramar, FL 33023-2148
Phone: (954) 682-9848
Fax: (305) 225-1289

Authorised official

Name: Donette Henry
Title: Owner
Phone: (954) 682-9848

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL10177 (FL)

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Registry record

NPI: 1104037787
Entity type: Organization
NPI issued: 24 May 2007
Record last updated: 22 Aug 2020

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.