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Organization
SUNRISE SENIOR VILLAGE ASSISTED LIVING INC
Active
Organization
SUNRISE SENIOR VILLAGE ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKI KANETI (MANAGING MEMBER)
(813) 971-8072
Entity
Organization
Contact information
Practice address
200 E LAS OLAS BLVD STE 2030, FT LAUDERDALE, FL 33301-2488
(954) 283-1048
Mailing address
11722 N 17TH ST, TAMPA, FL 33612-5434
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/11/2014
Last updated
04/11/2014
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