Provider Demographics
NPI:1811205669
Name:BINDA ASSISTED LIVING L.L.C.
Entity Type:Organization
Organization Name:BINDA ASSISTED LIVING L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LUKULA
Authorized Official - Middle Name:MBUKU
Authorized Official - Last Name:BINDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-341-3082
Mailing Address - Street 1:5544 NW 196 DRIVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076
Mailing Address - Country:US
Mailing Address - Phone:954-341-3082
Mailing Address - Fax:954-356-4192
Practice Address - Street 1:5544 NW 196 DRIVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076
Practice Address - Country:US
Practice Address - Phone:954-341-3082
Practice Address - Fax:954-356-4192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)