Organization
ACTIVE SENIOR LIVING RESIDENCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH ILONA TOKARZ (ADMINISTRATOR)
(954) 721-1115
Entity
Organization
Contact information
Practice address
9057 NW 57TH ST, TAMARAC, FL 33351-4305
(954) 721-1115
(954) 721-4397
Mailing address
9057 NW 57TH ST, TAMARAC, FL 33351-4305
(954) 721-1115
(954) 721-4397
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9969
FL
Other
Enumeration date
12/26/2006
Last updated
08/22/2020
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