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Organization
SEMINOLE ACRES/KANLAKE II, INC.
Active
Organization
SEMINOLE ACRES/KANLAKE II, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMLAWATY LAKRAM CORE TRAINING (ADMINISTRATOR)
(772) 595-5565
Entity
Organization
Contact information
Practice address
3562 SEMINOLE RD, FORT PIERCE, FL 34951-4041
(772) 595-5565
(772) 595-6505
Mailing address
3562 SEMINOLE RD, FORT PIERCE, FL 34951-4041
(772) 595-5565
(772) 595-6505
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL9025
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003720100
—
FL
Enumeration date
10/04/2011
Last updated
10/04/2011
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