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Organization

ADULT LEISURE LIVING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM TRUSS (OWNER/ADMINISTRATOR)
(954) 895-4134
Entity
Organization

Contact information

Practice address
15650 W BUNCHE PARK DR, OPA LOCKA, FL 33054-6965
(305) 705-2347
(305) 705-2394
Mailing address
15650 W BUNCHE PARK DR, OPA LOCKA, FL 33054-6965
(305) 705-2347
(305) 705-2394

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12063
FL

Other

Enumeration date
09/20/2011
Last updated
09/20/2011
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