Organization
RENLIV MANOR ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLENE EUGENE RN (OWNER/ADMINISTRATOR)
(561) 509-4054
Entity
Organization
Contact information
Practice address
17930 62ND RD N, LOXAHATCHEE, FL 33470-3217
(561) 509-4054
Mailing address
17930 62ND RD N, LOXAHATCHEE, FL 33470-3217
(561) 509-4054
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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