Individual provider · Type 1 NPI

Paul C. Kopp

Assisted Living Facility · Coconut Creek, FL

NPI number 1104485242 Active

Practice location

3201 Portofino Pt Apt M2
Coconut Creek, FL 33066-1241

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X234320 (FL)

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.

About NPI 1104485242

Paul C. Kopp's National Provider Identifier is 1104485242, issued on Jun 12, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Coconut Creek, FL. The record was last updated on Jun 12, 2019.