Organization
LAKES ACTIVE SENIOR LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA ALLEN RN (ADMINISTRATOR)
(954) 599-7686
Entity
Organization
Contact information
Practice address
3700 NW 27TH ST, LAUDERDALE LAKES, FL 33311-1869
(954) 599-7686
Mailing address
3700 NW 27TH ST, LAUDERDALE LAKES, FL 33311-1869
(954) 599-7686
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12965
FL
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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