Organization
SOBER LIVING BY KEYES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERROULLIO TOUSSAINT (OWNER)
(561) 889-1027
Entity
Organization
Contact information
Practice address
634 EVERGREEN DR, LAKE PARK, FL 33403-3208
(561) 889-1027
Mailing address
2835 N MILITARY TRL, UNIT E, WEST PALM BEACH, FL 33409-2625
(561) 889-1027
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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