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Organization
LOTUS LIFE LINE TRAINING, LLC
Active
Organization
LOTUS LIFE LINE TRAINING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE CLARK (OWNER)
(954) 418-2036
Entity
Organization
Contact information
Practice address
1295 NW 99TH ST, MIAMI, FL 33147-1807
(954) 477-9727
Mailing address
2114 N FLAMINGO RD # 308, PEMBROKE PINES, FL 33028-3501
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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