Organization
SERENITY BROADMOOR LLC
Active
Other names
The Broadmoor ALF
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE STECKLER (MANAGER)
(954) 748-0509
Entity
Organization
Contact information
Practice address
200 DIXIELAND DR, FORT PIERCE, FL 34982-6706
(772) 468-7235
Mailing address
3799 N PINE ISLAND RD, SUNRISE, FL 33351-6528
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9190
FL
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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