ACTIVE SENIOR LIVING RESIDENCE, INC. is an assisted living facility in Tamarac, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ACTIVE SENIOR LIVING RESIDENCE, INC. NPI is 1861557464. The provider is registered as an organization entity type.
The provider's business location address is:
9057 NW 57TH ST
TAMARAC, FL
ZIP 33351-305
Phone: (954) 721-1115
Fax: (954) 721-4397
The provider's authorized official is Beth Ilona Tokarz .
The authorized official title is Administrator and has the following contact phone number (954) 721-1115.
The CLIA number assigned to this NPI record is 10D0984256 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/26/2006 and was last updated on 8/22/2020.