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Eastside Active Living Llc
Assisted Living Facility (Mental Illness) in Hollywood, Florida
NPI 1215323118

Eastside Active Living Llc is an Assisted Living Facility (Mental Illness) based in Hollywood, FL and is specialized in Assisted Living, Mental Illness. Eastside Active Living Llc practices in Hollywood, FL. The NPI Number for Eastside Active Living Llc is 1215323118 and holds a License No. AL12023 (Florida).

The current practice location address for Eastside Active Living Llc is 1600 Taft St, Hollywood, FL and can be reached out via phone at 954-923-5057 and via fax at 954-927-7794.

Location: 1600 Taft St, Hollywood, FL, 33020-3272
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215323118
Provider Name
Eastside Active Living Llc
Credential
Provider Entity Type
Organization
Address
1600 Taft St, Hollywood, FL, 33020-3272
Phone Number
954-923-5057
Fax Number
954-927-7794
Provider Enumeration Date
04/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1600 Taft St
City
Hollywood
State
Florida
Zip
33020-3272
Phone Number
954-923-5057
Fax Number
954-927-7794
person
Provider Business Mailing Address Details
Address
1600 Taft St
City
Hollywood
State
Florida
Zip
33020-3272
Phone Number
954-923-5057
Fax Number
954-927-7794
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
AL12023 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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