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Organization

SUNNY RESIDENCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARJORIE ELIE (OWNER/ADMINISTRATOR)
(954) 436-1381
Entity
Organization

Contact information

Practice address
9001 SW 20 ST., MIRAMAR, FL 33025-4728
(954) 436-1381
Mailing address
9001 SW 20 ST., MIRAMAR, FL 33025-4728

Taxonomy

Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
10332
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141949800
FL
Enumeration date
09/27/2010
Last updated
10/01/2010
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