Organization
LIVEWELL AT GRAND COURT LAKES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANIR SHMARYOU (OWNER)
(305) 987-7920
Entity
Organization
Contact information
Practice address
280 SIERRA DR, MIAMI, FL 33179-3894
(305) 654-5300
Mailing address
280 SIERRA DR, MIAMI, FL 33179-3894
(305) 654-5300
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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