Ejl Assisted Living Facility

NPI 1093030710 - Assisted Living Facility - 310400000X

NPI Details
NPI 1093030710
Enumeration Date 04/06/2010
Last Updated 04/06/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DUBELL DUBELL
Position OWNER
Phone (954) 581-1084
Fax
Practice Location
1701 SW 47TH AVE
FORT LAUDERDALE FL, 33317-5618, US
Phone (954) 581-1084
Fax
Business Location
1701 SW 47TH AVE
FORT LAUDERDALE FL, 33317-5618, US
Phone (954) 581-1084
Fax
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL-10472
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According to our database, Ejl Assisted Living Facility NPI is 1093030710, taxonomy code is 310400000X and license number is AL-10472, license state is located at Florida. Ejl Assisted Living Facility physically located at 1701 Sw 47th Ave, Fort Lauderdale FL, 33317-5618. NPI Number 1033115704 has the healthcare provider type.

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1093030710 NPI number is provided on an as is basis without warranty of any kind. 1093030710 is maintained by the National Plan & Provider Enumeration System. The contents of Ejl Assisted Living Facility are for informational purposes only.