Organization
KISSLEE, LLC
Active
Other names
Tender Care ALF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON KISSOONLAL (ADMINISTRATOR)
(954) 523-1543
Entity
Organization
Contact information
Practice address
2720 SW 6TH CT, FORT LAUDERDALE, FL 33312-2139
(954) 530-3360
Mailing address
2720 SW 6TH CT, FORT LAUDERDALE, FL 33312-2139
(954) 523-1543
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100048400
—
FL
Enumeration date
11/26/2018
Last updated
08/26/2020
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