Organization
PATH OF LIFE OF LAKE WORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HERNANDEZ R.N. (ADMINISTRATOR)
(305) 282-2620
Entity
Organization
Contact information
Practice address
87 W RUBBER TREE DR, LAKE WORTH, FL 33467-4840
(561) 968-8344
Mailing address
87 W RUBBER TREE DR, LAKE WORTH, FL 33467-4840
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12929
FL
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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