person
Mr. Paul C Kopp
Assisted Living Facility in Coconut Creek, Florida
NPI 1104485242

Paul C Kopp is an Assisted Living Facility based in Coconut Creek, FL. Paul C Kopp practices in Coconut Creek, FL. The NPI Number for Paul C Kopp is 1104485242 and holds a License No. 234320 (Florida).

The current practice location address for Paul C Kopp is 3201 Portofino Pt Apt M2, Coconut Creek, FL and can be reached out via phone at 954-821-8404.

Location: 3201 Portofino Pt Apt M2, Coconut Creek, FL, 33066-1241
person
Provider Profile Details
NPI Number
1104485242
Provider Name
Paul C Kopp
Credential
Provider Entity Type
Individual
Gender
Male
Address
3201 Portofino Pt Apt M2, Coconut Creek, FL, 33066-1241
Phone Number
954-821-8404
Fax Number
Provider Enumeration Date
06/12/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
753448 05 FL
institution
Provider Business Practice Location Address Details
Address
3201 Portofino Pt Apt M2
City
State
Zip
33066-1241
Phone Number
954-821-8404
Fax Number
person
Provider Business Mailing Address Details
Address
3201 Portofino Pt Apt M2
City
State
Zip
33066-1241
Phone Number
954-821-8404
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
234320 (Florida)
Definition
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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