Organization
JBS ASSISTED LIVING HOME INC
Active
Parent organization
YES
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
DENICE BRYANT (ADMINASTRATOR)
(954) 369-8282
Entity
Organization
Contact information
Practice address
1511 NW 10TH AVE, FT LAUDERDALE, FL 33311-5410
(954) 990-4847
Mailing address
1517 NW 10TH AVE, FT LAUDERDALE, FL 33311-5410
(954) 369-8282
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11448
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL11448
ASSISTED LIVING
FL
Enumeration date
07/28/2009
Last updated
07/28/2009
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