Organization
DESTINY LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD OVIASOGIE (ADMINISTRATOR)
(954) 665-8740
Entity
Organization
Contact information
Practice address
9230 N CYPRESS CIR, MIRAMAR, FL 33025-2440
(954) 435-2882
Mailing address
9230 N CYPRESS CIR, MIRAMAR, FL 33025-2440
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11567
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001023300
—
FL
Enumeration date
08/20/2009
Last updated
08/20/2009
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