Healthcare Provider Details

I. General information

NPI: 1215855986
Provider Name (Legal Business Name): KT'S ASSISTED LIVING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 NW 3RD CT
HALLANDALE BEACH FL
33009-3367
US

IV. Provider business mailing address

207 NW 3RD CT
HALLANDALE BEACH FL
33009-3367
US

V. Phone/Fax

Practice location:
  • Phone: 954-218-9062
  • Fax: 954-416-6007
Mailing address:
  • Phone: 954-218-9062
  • Fax: 954-416-6007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: LATRICE AUSTIN
Title or Position: OWNER
Credential:
Phone: 954-218-9062