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Pelican Palace, Llc
Child Intellectual and/or Developmental Disabilities Respite Care in Coral Springs, Florida
NPI 1548635790

Pelican Palace, Llc is a Child Intellectual and/or Developmental Disabilities Respite Care based in Coral Springs, FL and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Pelican Palace, Llc practices in Coral Springs, FL. The NPI Number for Pelican Palace, Llc is 1548635790 and holds a License No. (Florida).

The current practice location address for Pelican Palace, Llc is 12335 Nw 51St St, Coral Springs, FL and can be reached out via phone at 954-709-6545 and via fax at 954-369-4742.

Location: 12335 Nw 51St St, Coral Springs, FL, 33076-3446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548635790
Provider Name
Pelican Palace, Llc
Credential
Provider Entity Type
Organization
Address
12335 Nw 51St St, Coral Springs, FL, 33076-3446
Phone Number
954-709-6545
Fax Number
954-369-4742
Provider Enumeration Date
12/13/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FL 05 FL
institution
Provider Business Practice Location Address Details
Address
12335 Nw 51St St
City
Coral Springs
State
Florida
Zip
33076-3446
Phone Number
954-709-6545
Fax Number
954-369-4742
person
Provider Business Mailing Address Details
Address
12335 Nw 51St St
City
Coral Springs
State
Florida
Zip
33076-3446
Phone Number
954-709-6545
Fax Number
954-369-4742
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
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Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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