Healthcare Provider Details

I. General information

NPI: 1700703774
Provider Name (Legal Business Name): OSL BOYNTON BEACH OPERATING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1935 S FEDERAL HWY APT 106
BOYNTON BEACH FL
33435-6968
US

IV. Provider business mailing address

2804 DEL PRADO BLVD S STE 106
CAPE CORAL FL
33904-7219
US

V. Phone/Fax

Practice location:
  • Phone: 561-736-2424
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: AYLA HARWOOD
Title or Position: COO
Credential:
Phone: 239-292-1513