Organization
COMPREHENSIVE LIFE SOUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAIDYS ROQUE PHARMD (PRESIDENT)
(954) 637-3167
Entity
Organization
Contact information
Practice address
4040 SW 84TH TER, DAVIE, FL 33328-2951
(954) 637-3167
Mailing address
4040 SW 84TH TER, DAVIE, FL 33328-2951
(954) 637-3167
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/11/2017
Last updated
02/13/2017
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