Organization · Type 2 NPI

Nic 4 Emerald Park Retirement Leasing LLC

Assisted Living Facility · Hollywood, FL

NPI number 1154765857 Active

Practice location

5770 Stirling Rd.
Hollywood, FL 33021

Call (954) 987-5400 Map

Fax (954) 987-4942

Mailing address

PO Box 1700 C/o Holiday Retirement, Nic 4 Emerald Park Retirement Leasing Llc
Lake Oswego, OR 97035

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X9431 (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.

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About NPI 1154765857

Nic 4 Emerald Park Retirement Leasing LLC's National Provider Identifier is 1154765857, issued on Apr 24, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Hollywood, FL. The record was last updated on Dec 1, 2016.