Organization
LESLY'LESISURE LIVING III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC R THELOT (ASSISTANT ADMINISTRATOR)
(954) 661-1285
Entity
Organization
Contact information
Practice address
8080 NW 51 ST, LAUDERHILL, FL 33351
(954) 661-1285
(954) 616-8930
Mailing address
8080 NW 51 ST, LAUDERHILL, FL 33351
(954) 661-1285
(954) 616-8930
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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