Organization
JENCARL'S ANGELS ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIEVE HARDING (PRESIDENT)
(954) 270-9144
Entity
Organization
Contact information
Practice address
4890 NW 7TH ST, PLANTATION, FL 33317-1410
(954) 270-9144
Mailing address
4890 NW 7TH ST, PLANTATION, FL 33317-1410
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11965465
FL
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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