Organization
COLONIAL ASSISTED LIVING AT FORT LAUDERDALE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKI KANETI (MANAGER)
(954) 600-6333
Entity
Organization
Contact information
Practice address
2801 NW 55TH AVE, LAUDERHILL, FL 33313-2509
(954) 283-1048
Mailing address
200 S ROSEMARY AVE STE 2, WEST PALM BEACH, FL 33401-5746
(954) 283-1048
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
7249
FL
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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