institution
Country Club Living , Inc.
Assisted Living Facility in Miami Lakes, Florida
NPI 1063535854

Country Club Living , Inc. is an Assisted Living Facility based in Miami Lakes, FL. Country Club Living , Inc. practices in Miami Lakes, FL. The NPI Number for Country Club Living , Inc. is 1063535854 and holds a License No. AL10449 (Florida).

The current practice location address for Country Club Living , Inc. is 16837 N. W. 91 Ct., Miami Lakes, FL and can be reached out via phone at 305-549-8657 and via fax at 305-816-9996.

Location: 16837 N. W. 91 Ct., Miami Lakes, FL, 33018
institution
Provider Profile Details
NPI Number
1063535854
Provider Name
Country Club Living , Inc.
Credential
Provider Entity Type
Organization
Address
16837 N. W. 91 Ct., Miami Lakes, FL, 33018
Phone Number
305-549-8657
Fax Number
305-816-9996
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
142170100 05 FL
689009100 05 FL
institution
Provider Business Practice Location Address Details
Address
16837 N. W. 91 Ct.
City
State
Zip
33018
Phone Number
305-549-8657
Fax Number
305-816-9996
person
Provider Business Mailing Address Details
Address
16837 N. W. 91 Ct.
City
State
Zip
33018
Phone Number
305-549-8657
Fax Number
305-816-9996
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
AL10449 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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