Independence Hall Operator, LLC
NPI #1689382954 in Wilton Manors, Florida
Provider Information
- NPI Number
- 1689382954
- Entity Type
- Organization
- Organization Name
- Independence Hall Operator, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 7, 2022
- Last Updated
- Nov 7, 2022
Practice Location
- Address
- 1639 NE 26TH ST
- City
- Wilton Manors
- State
- Florida
- ZIP Code
- 33305-1410
- Phone
- (954) 563-6232
Authorized Official
- Name
- MR. THOMAS MICHAEL RABOLD JR.
- Title
- MANAGING PARTNER
- Phone
- (954) 496-0387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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