Organization
COMMUNITY LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAGALY FERNANDEZ (ADMINISTRATOR/PARTNER)
(954) 942-2433
Entity
Organization
Contact information
Practice address
4200 NE 19TH AVE, POMPANO BEACH, FL 33064
(954) 942-2433
Mailing address
415 SE 4TH TERRACE, DANIA BEACH, FL 33004
(954) 942-2433
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11929
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440384
—
FL
Enumeration date
02/24/2010
Last updated
12/29/2010
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