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Organization
LUNGEVITY HEALTHCARE, LLC
Active
Organization
LUNGEVITY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONIDAS FENELON (ADMINISTRATOR)
(954) 383-1851
Entity
Organization
Contact information
Practice address
7531 FAIRWAY BLVD, MIRAMAR, FL 33023-6500
(954) 383-1851
Mailing address
7531 FAIRWAY BLVD, MIRAMAR, FL 33023-6500
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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