NPI 1609215938

Kozie Kottage LLC

Organisation Adult Care Home Facility West Palm Beach, FL

Practice location

Address: 12576 54th St N, West Palm Beach, FL 33411-8512
Phone: (561) 236-9100

Authorised official

Name: Wendy Rosemarie Reyes
Title: Administrator
Phone: (561) 236-9100

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 6906562 (FL)

Other Custodial Care Facility providers in Florida →

Registry record

NPI: 1609215938
Entity type: Organization
NPI issued: 19 Jun 2013
Record last updated: 27 Aug 2013

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.