Organization
PHOENIX SENIOR LIVING III, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELA JANETA ROMAN RN (ADMINISTRATOR)
(954) 682-1985
Entity
Organization
Contact information
Practice address
10020 NW 50TH MNR, CORAL SPRINGS, FL 33076-2419
(954) 682-1985
Mailing address
10020 NW 50TH MNR, CORAL SPRINGS, FL 33076-2419
(954) 682-1985
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10637
FL
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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