NPI 1114158532

Phoenix Senior Living III, INC.

Organisation Assisted Living Facility Coral Springs, FL

Practice location

Address: 10020 NW 50th Mnr, Coral Springs, FL 33076-2419
Phone: (954) 682-1985

Authorised official

Name: Gabriela Janeta Roman
Title: Administrator
Phone: (954) 682-1985

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL10637 (FL)

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Registry record

NPI: 1114158532
Entity type: Organization
NPI issued: 3 Aug 2009
Record last updated: 3 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.