Colonial Assisted Living at Fort Lauderdale, LLC
NPI #1487156196 in Lauderhill, Florida
Provider Information
- NPI Number
- 1487156196
- Entity Type
- Organization
- Organization Name
- Colonial Assisted Living at Fort Lauderdale, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 8, 2018
- Last Updated
- Mar 8, 2018
Practice Location
- Address
- 2801 NW 55TH AVE
- City
- Lauderhill
- State
- Florida
- ZIP Code
- 33313-2509
- Phone
- (954) 283-1048
Authorized Official
- Name
- RICKI KANETI
- Title
- MANAGER
- Phone
- (954) 600-6333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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