Provider Demographics
NPI:1245658277
Name:PLANTATION SENIOR LIVING INC
Entity type:Organization
Organization Name:PLANTATION SENIOR LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGUERITE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANKARLALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-235-2666
Mailing Address - Street 1:4725 NW 4TH CT
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2018
Mailing Address - Country:US
Mailing Address - Phone:754-235-2666
Mailing Address - Fax:
Practice Address - Street 1:4725 NW 4TH CT
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2018
Practice Address - Country:US
Practice Address - Phone:754-235-2666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management