NPI:
1083228332
Provider Name:
CHRISTALLIS MANOR III
Doing Business As: BEACHSIDE LIVING LLC
Classification:
Assisted Living Facility - 3104A0630X
Entity Type:
Organization
Specialization: Assisted Living, Behavioral Disturbances
CLIA Number: 10D2201041
Address:
420 N RIVERSIDE DR
POMPANO BEACH, FL
ZIP 33062
Phone:
(954) 274-5573
Get Directions
CHRISTALLIS MANOR III is an assisted living and behavioral disturbances assisted living facility in Pompano Beach, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. CHRISTALLIS MANOR III NPI is 1083228332. The provider is registered as an organization entity type.
The provider Is Doing Business As Beachside Living Llc.
The provider's business location address is:
420 N RIVERSIDE DR
POMPANO BEACH, FL
ZIP 33062-035
Phone: (954) 274-5573
The provider's authorized official is Amparo M Dierking .
The authorized official title is Administrator and has the following contact phone number (954) 274-5573.
The CLIA number assigned to this NPI record is 10D2201041 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/3/2020 and was last updated on 3/18/2021.