Organization
LOTUS ASSISTED LIVING FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MURA DARABAN (MANAGER)
(561) 628-0832
Entity
Organization
Contact information
Practice address
1477 SW GOODMAN AVE, PORT SAINT LUCIE, FL 34953-1418
(561) 628-0832
Mailing address
4077 MANOR FOREST TRL, BOYNTON BEACH, FL 33436-8850
(561) 628-0832
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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