Pelican Palace, Llc

LBN: Pelican Palace, Llc
Pelican Palace, Llc is an health care organization with primary practice located at 12335 Nw 51St St , Coral Springs FL 33076-3446. The organization recently has only one registered license in Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Pelican Palace, Llc can be contacted via phone (954) 709-6545, or through Alexander, Vinette via phone (954) 709-6545.

Contact Information

Primary practice address
12335 Nw 51St St Coral Springs FL 33076-3446
Phone: (954) 709-6545
Fax: (954) 369-4742
Website:
Map and Directions
Authorized official contact:
Name: Alexander, Vinette DNP
Phone: (954) 709-6545

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1548635790
LBN Legal business name Pelican Palace, Llc
DBA Doing business as
Authorized official Alexander, Vinette DNP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2015
Last updated Dec 13th, 2015 - about 10 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 1548635790 NPPES
Florida MEDICAID FL

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