Individual
LIDIA KURQUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1823 ROCKFORD BLVD, LEHIGH ACRES, FL 33936-5871
(954) 895-5322
Mailing address
1823 ROCKFORD BLVD, LEHIGH ACRES, FL 33936-5871
(954) 895-5322
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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