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Organization

KNG SENIOR LIVING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NIRVA ALEXIS LPN (ADMINISTRATOR)
(786) 457-3001
Entity
Organization

Contact information

Practice address
12320 NW 13TH AVE, NORTH MIAMI, FL 33167-2302
(786) 457-3001
(786) 457-3001
Mailing address
12320 NW 13TH AVE, NORTH MIAMI, FL 33167-2302
(786) 457-3001
(786) 457-3001

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
01/30/2024
Last updated
01/30/2024
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