Organization
LULU'S BOARDING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NOEMI RODRIGUEZ (PRESIDENT)
(954) 587-6526
Entity
Organization
Contact information
Practice address
2720 SW 6TH CT, FT LAUDERDALE, FL 33312-2139
(954) 587-6526
Mailing address
2720 SW 6TH CT, FT LAUDERDALE, FL 33312-2139
(954) 587-6526
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL68
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236078
PROVIDER ID
FL
Enumeration date
05/04/2007
Last updated
08/09/2007
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