Provider Demographics
NPI:1821330986
Name:ANGUILLA CAY SENIOR LIVING INC
Entity Type:Organization
Organization Name:ANGUILLA CAY SENIOR LIVING INC
Other - Org Name:ANGUILLA CAY SENIOR LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-585-0109
Mailing Address - Street 1:1021 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1446
Mailing Address - Country:US
Mailing Address - Phone:561-585-0109
Mailing Address - Fax:
Practice Address - Street 1:1021 RIDGE RD
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-1446
Practice Address - Country:US
Practice Address - Phone:561-585-0109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11772310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility