Organization
LAKE ERSWIN, LLC
Active
Other names
South Hialeah Manor
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA PACE (DIRECTOR OF OPERATIONS)
(786) 419-6949
Entity
Organization
Contact information
Practice address
240 E 5TH ST, HIALEAH, FL 33010-4822
(786) 419-6949
Mailing address
140 W 28TH ST, HIALEAH, FL 33010-1606
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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