Avalon Park Retirement Residence

LBN: Avalon Park Retirement Residence
Avalon Park Retirement Residence is an health care organization with primary practice located at 600 N 62Nd Ave , Hollywood FL 33024-7857. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Avalon Park Retirement Residence can be contacted via phone (954) 981-4822, or through Kulnick, Maggie via phone (954) 981-4822.

Contact Information

Primary practice address
600 N 62Nd Ave Hollywood FL 33024-7857
Phone: (954) 981-4822
Fax: (954) 963-9561
Website:
Map and Directions
Authorized official contact:
Name: Kulnick, Maggie
Phone: (954) 981-4822

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL6653 Florida

Profile Details

NPI number 1669632857
LBN Legal business name Avalon Park Retirement Residence
DBA Doing business as
Authorized official Kulnick, Maggie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2008
Last updated Jun 11th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669632857 NPPES
Florida MEDICAID 693228200

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