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Organization

AZALENE'S ASSISTED LIVING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AZALENE KEMP (OWNER)
(954) 583-3352
Entity
Organization

Contact information

Practice address
3011 NW 8TH CT, FORT LAUDERDALE, FL 33311-6613
(954) 583-3352
(954) 583-8784
Mailing address
3011 NW 8TH CT, FORT LAUDERDALE, FL 33311-6613
(954) 583-3352

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11630
FL

Other

Enumeration date
04/15/2013
Last updated
04/15/2013
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