Organization
GRAND COURT LAKES MANAGEMENT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BUCHANAN MSW (ADMINISTRATOR)
(305) 654-5300
Entity
Organization
Contact information
Practice address
280 SIERRA DR, MIAMI, FL 33179-3894
(305) 654-5300
Mailing address
280 SIERRA DR, MIAMI, FL 33179-3894
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8390
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000498200
—
FL
Enumeration date
10/02/2009
Last updated
10/02/2009
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