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Silver Sparks Residential Care LLC Dba Adult Leisure Living

Assisted Living Facility in Miami Gardens, FL. Organization (NPI-2).

NPI number1497453088
StatusActive
Last updated in NPPESFeb 22, 2023

Details

NPI
1497453088
Entity type
Organization (NPI-2)
Legal business name
Silver Sparks Residential Care LLC Dba Adult Leisure Living
Organization subpart
No
Enumeration date
Feb 22, 2023
Certification date
Feb 11, 2023
Last updated
Feb 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Other names

  • Adult Leisure Living (Doing Business As)

Practice location

15650 W Bunche Park Dr
Miami Gardens, FL 33054-6965

Phone 305-705-2347

Mailing address

15650 W Bunche Park Dr
Miami Gardens, FL 33054-6965

Phone 305-705-2347

Authorized official

Lavern Marie Gordon Thomas
Administrator
7865066778

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