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Organization
SUNRISE SENIOR VILLAGE
Active
Organization
SUNRISE SENIOR VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RICKI KANETI (EXECUTIVE DIRECTOR)
(954) 600-6333
Entity
Organization
Contact information
Practice address
200 E LAS OLAS BLVD, FT LAUDERDALE, FL 33301-2299
(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
AL5898
FL
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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