Organization · NPI-2

Park Plaza Retirement Residence, LLC

Assisted Living Facility · North Miami Beach, FL

NPI number1144354911
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1144354911
Entity type
Organization (NPI-2)
Legal business name
Park Plaza Retirement Residence, LLC
Organization subpart
No
Enumeration date
Mar 15, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility7169FLYes

Practice location

15520 Nw 2cd Avenue
North Miami Beach, FL 33169

Phone 305-949-2626 · Fax 305-940-3945

Mailing address

15520 Nw 2cd Avenue
North Miami Beach, FL 33169

Phone 305-949-2626 · Fax 305-940-3945

Authorized official

Michael Rosenberg
Ceo
3059492626

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