# LUCIENNE RESIDENTIAL SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LUCIENNE RESIDENTIAL SERVICES, INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811476534
- **Authorized official:** MR. DIEUFENE SYLVAIN (PRESIDENT)
- **Authorized official phone:** (508) 846-2747

## Contact information

- **Practice address:** 9179 FOUNTAIN RD, LAKE WORTH, FL 33467-4735
- **Practice address phone:** (508) 846-2747
- **Mailing address:** 4882 SW 159TH AVE, MIRAMAR, FL 33027-5645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2018
- **Last updated:** 08/13/2018