Organization
COLONY SHINY SERENITY LLC
Active
Other names
The Colony Club ALF
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE STECKLER (FINANCIAL OFFICER)
(954) 748-0509
Entity
Organization
Contact information
Practice address
3799 N PINE ISLAND RD, SUNRISE, FL 33351-6528
(954) 748-0809
Mailing address
3799 N PINE ISLAND RD, SUNRISE, FL 33351-6528
(954) 748-0809
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
7250
FL
Other
Enumeration date
01/18/2015
Last updated
01/18/2015
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