Organization
PACIFICA LAUDERHILL LLC
Active
Other names
Pacifica Senior Living Forest Trace
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (OWNER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
5500 NW 69TH AVE, LAUDERHILL, FL 33319-7266
(954) 572-1800
Mailing address
5500 NW 69TH AVE, LAUDERHILL, FL 33319-7266
(954) 572-1800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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