Organization
LIGHTHOUSE HEALTHCARE MANAGEMENT SOUTH LLC
Active
Other names
Lighthouse Inn South
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL TENNENBAUM (CFO)
(212) 616-8819
Entity
Organization
Contact information
Practice address
3305 SE 5TH ST, POMPANO BEACH, FL 33062-5509
(954) 785-7763
Mailing address
555 MADISON AVE, 19TH FLOOR, NEW YORK, NY 10022-3301
(212) 616-8819
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7127
FL
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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