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NPI 1083228332

OrganizationActive

Christallis Manor III

NPI 1083228332 · Assisted Living Facility (Behavioral Disturbances) · Pompano Beach, FL

Provider details

NPI number: 1083228332
Entity type: Organization
Primary specialty: Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Amparo Dierking, Administrator(954) 274-5573

Specialties & taxonomies

Assisted Living Facility (Behavioral Disturbances)Primary3104A0630X
Nursing & Custodial Care Facilities

Practice location

420 N Riverside Dr

Pompano Beach, FL 33062-5035

Phone: (954) 274-5573

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

420 N Riverside Dr

Pompano Beach, FL 33062-5035

Other names (DBA / former)

Doing business as: Beachside Living LLC
Doing business as: Beachside Living LLC

Registry dates

Enumerated: 2020-09-03
Last updated: 2021-03-18
Certified: 2021-03-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Christallis Manor III — NPI 1083228332, Pompano Beach, FL | NPI Central