Organization
CENTER FOR INDEPENDENT LIVING OF BROWARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG LILIENTHAL (BOARD OF DIRECTORS PRESIDENT)
(954) 722-6400
Entity
Organization
Contact information
Practice address
4800 N STATE ROAD 7, SUITE 102, LAUDERDALE LAKES, FL 33319-5811
(954) 722-6400
(954) 735-1958
Mailing address
4800 N STATE ROAD 7, SUITE 102, LAUDERDALE LAKES, FL 33319-5811
(954) 722-6400
(954) 735-1958
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002045400
—
FL
Enumeration date
08/07/2012
Last updated
08/07/2012
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