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Organization
VICTIRIAN ASSISTED LIVING FACILITY
Active
Organization
VICTIRIAN ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY STODDARDDANIELS (ADMINISTRATOR)
(772) 985-4791
Entity
Organization
Contact information
Practice address
4610 NW 113TH TER, SUNRISE, FL 33323-1026
(772) 985-4791
Mailing address
4610 NW 113TH TER, SUNRISE, FL 33323-1026
(772) 985-4791
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11327
FL
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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