Organization
LEISURE LAND ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA ROBINSON (OWNER/ADMINISRATOR)
(850) 702-4984
Entity
Organization
Contact information
Practice address
2301 NE 12TH TER, POMPANO BEACH, FL 33064-5518
(754) 300-8895
Mailing address
2301 NE 12TH TER, POMPANO BEACH, FL 33064-5518
(754) 300-8895
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12330
FL
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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