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CORAL SPRINGS COUNTRY CLUB FOR SENIORS INC. NPI 1932543782


NPI Information

NPI: 1932543782
Provider Name: CORAL SPRINGS COUNTRY CLUB FOR SENIORS, INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2903 NW 115TH TER
CORAL SPRINGS, FL
ZIP 33065
Phone: (954) 839-4791
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CORAL SPRINGS COUNTRY CLUB FOR SENIORS, INC. is an assisted living facility in Coral Springs, 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. CORAL SPRINGS COUNTRY CLUB FOR SENIORS, INC. NPI is 1932543782. The provider is registered as an organization entity type.

The provider's business location address is:

2903 NW 115TH TER
CORAL SPRINGS, FL
ZIP 33065-439
Phone: (954) 839-4791

The provider's authorized official is Petrinea A Mattis .
The authorized official title is Administrator and has the following contact phone number (954) 839-4791.

The enumeration date for this NPI number is 4/23/2013 and was last updated on 4/23/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL10582FLORIDAYes

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: 11/14/2023

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