Organization · Type 2 NPI

Eastside Active Living LLC

Assisted Living Facility (Mental Illness) · Hollywood, FL

NPI number 1215323118 Active

Practice location

1600 Taft St
Hollywood, FL 33020-3272

Call (954) 923-5057 Map

Fax (954) 927-7794

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility (Mental Illness) Primary 3104A0625XAL12023 (FL)

Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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About NPI 1215323118

Eastside Active Living LLC's National Provider Identifier is 1215323118, issued on Apr 8, 2015. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Hollywood, FL. The record was last updated on May 23, 2016.