Organization
LOVING EXTENDED FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORMA GUILLAUME (OWNER)
(954) 900-4817
Entity
Organization
Contact information
Practice address
5112 N LAUREL CIR, TAMARAC, FL 33319-3100
(954) 900-4817
(954) 900-4817
Mailing address
5112 N LAUREL CIR, TAMARAC, FL 33319-3100
(954) 900-4817
(954) 900-4817
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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