Organization
LTA COMPLETE SERVICES, INC.
Active
Organization
LTA COMPLETE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETT TERRELONGE (CEO)
(786) 597-1023
Entity
Organization
Contact information
Practice address
515 NW 57TH CT, MIAMI, FL 33126-3111
(786) 597-1023
Mailing address
515 NW 57TH CT, MIAMI, FL 33126-3111
(786) 597-1023
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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