Organization
JORDAN BROOKE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUCASADA NOEL (ADMINSITATOR)
(954) 322-4112
Entity
Organization
Contact information
Practice address
4508 VAN BUREN ST, HOLLYWOOD, FL 33021-7242
(954) 322-4112
(954) 322-4199
Mailing address
4508 VAN BUREN ST, HOLLYWOOD, FL 33021-7242
(954) 322-4112
(954) 322-4199
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
09/20/2007
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