Organization
EJL ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DUBELL SANTANA (ADMINISTRATOR)
(305) 338-1263
Entity
Organization
Contact information
Practice address
1701 SW 47TH AVE, FT LAUDERDALE, FL 33317-5618
(305) 338-1263
Mailing address
1701 SW 47TH AVE, FT LAUDERDALE, FL 33317-5618
(305) 338-1263
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10472
FL
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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