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WALT NOBLE INC. NPI 1891130787


NPI Information

NPI: 1891130787
Provider Name: WALT NOBLE INC.

Doing Business As: ROYAL PALM SENIOR RESIDENCE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2197704

Address:
5121 NE 19TH AVE
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 491-4041
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WALT NOBLE INC. is an assisted living facility in Fort Lauderdale, FL. The provider is 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. WALT NOBLE INC. NPI is 1891130787. The provider is registered as an organization entity type.
The provider Is Doing Business As Royal Palm Senior Residence.

The provider's business location address is:

5121 NE 19TH AVE
FORT LAUDERDALE, FL
ZIP 33308-712
Phone: (954) 491-4041
Fax: (954) 772-4657

The provider's authorized official is Eusebio C Noblefranca .
The authorized official title is Administrator and has the following contact phone number (954) 491-4041.

The CLIA number assigned to this NPI record is 10D2197704 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2013 and was last updated on 5/6/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL 5944FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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