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Organization
THE LORD'S PLACE
Active
Organization
THE LORD'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA STANLEY (EXECUTIVE DIRECTOR)
(561) 494-0125
Entity
Organization
Contact information
Practice address
2808 N AUSTRALIAN AVE, WEST PALM BEACH, FL 33407-4592
(561) 494-0125
(561) 494-2922
Mailing address
2808 N AUSTRALIAN AVE, WEST PALM BEACH, FL 33407-4592
(561) 494-0125
(561) 494-2922
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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