Organization
NENA'S ON THE LAKE, ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE BORELAND (ADMINISTRATOR)
(954) 554-6278
Entity
Organization
Contact information
Practice address
8140 NW 47TH CT, LAUDERHILL, FL 33351-5630
(954) 554-6278
(954) 697-0999
Mailing address
8140 NW 47TH CT, LAUDERHILL, FL 33351-5630
(954) 554-6278
(954) 697-0999
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106161300
—
FL
Enumeration date
12/29/2020
Last updated
12/29/2020
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