Organization
ACTIVE SERENITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE IMBERT (MANAGER)
(954) 655-1067
Entity
Organization
Contact information
Practice address
9057 NW 57TH ST, TAMARAC, FL 33351-4305
(954) 721-1115
Mailing address
3799 N PINE ISLAND RD, SUNRISE, FL 33351-6528
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9969
FL
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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