10D0928614 CLIA NUMBER - GRAND VILLA OF BOYNTON BEACH

Laboratory Demographics

CLIA Number: 10D0928614

Facility Name: GRAND VILLA OF BOYNTON BEACH

Facility Address:
1935 S FEDERAL HWY
BOYNTON BEACH, FL
ZIP 33435
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Facility Phone Number: (561) 736-2424

Facility Type: ASSISTED LIVING FACILITY

Certificate Type: Waiver

NPI Number: 1952775926

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	10D0928614
LAB Type	ASSISTED LIVING FACILITY
Facility Name	GRAND VILLA OF BOYNTON BEACH
Street	1935 S FEDERAL HWY
City	BOYNTON BEACH
State	FL
ZIP	33435
Phone	(561) 736-2424

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This page was last updated on: 5/11/2023