Country Club Living , Inc.

NPI 1063535854 - Assisted Living Facility - 310400000X

NPI Details
NPI 1063535854
Enumeration Date 04/09/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CARMEN CARMEN
Position OWNER ADMINISTRATOR
Phone (305) 934-8770
Fax (305) 816-9996
Practice Location
16837 N. W. 91 CT.
MIAMI LAKES FL, 33018, US
Phone (305) 934-8770
Fax (305) 816-9996
Business Location
6791 ROYAL MELBOURNE DR
HIALEAH FL, 33015-2120, US
Phone (305) 934-8770
Fax (305) 816-9996
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL10449
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According to our database, Country Club Living , Inc. NPI is 1063535854, taxonomy code is 310400000X and license number is AL10449, license state is located at Florida. Country Club Living , Inc. physically located at 16837 N. W. 91 Ct., Miami Lakes FL, 33018. NPI Number 1033115704 has the healthcare provider type.

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1063535854 NPI number is provided on an as is basis without warranty of any kind. 1063535854 is maintained by the National Plan & Provider Enumeration System. The contents of Country Club Living , Inc. are for informational purposes only.