Organization
LONG LIFE CARE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN BRAIDE (ADMINISTRATOR)
(954) 345-1422
Entity
Organization
Contact information
Practice address
9851 NW 53RD CT, CORAL SPRINGS, FL 33076-2636
(954) 345-1422
Mailing address
9851 NW 53RD CT, CORAL SPRINGS, FL 33076-2636
(954) 345-1422
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL11562
ACHA LICENSE #
FL
Enumeration date
06/01/2010
Last updated
06/01/2010
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