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Organization
LOG CABIN ENTERPRISES, INC.
Active
Organization
LOG CABIN ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES G WEEKS PH.D. (CORPORATE SECRETARY TREASURER)
(305) 273-3024
Entity
Organization
Contact information
Practice address
22300 SW 162ND AVE, MIAMI, FL 33170-3907
(305) 245-6150
Mailing address
9040 SUNSET DR, MIAMI, FL 33173-3432
(305) 273-3024
(305) 598-8240
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
4083095
FL
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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