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Organization
CENTER FOR INDEPENDENT LIVING OF BROWARD
Active
Organization
CENTER FOR INDEPENDENT LIVING OF BROWARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG LILIENTHAL (BOARD OF DIRECTORS PRESIDENT)
(954) 722-6400
Entity
Organization
Contact information
Practice address
4800 N STATE ROAD 7, SUITE 102, LAUDERDALE LAKES, FL 33319-5811
(954) 722-6400
(954) 735-1958
Mailing address
4800 N STATE ROAD 7, SUITE 102, LAUDERDALE LAKES, FL 33319-5811
(954) 722-6400
(954) 735-1958
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002045400
—
FL
Enumeration date
08/07/2012
Last updated
08/07/2012
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