Organization
DELRAY GROUP, LLC
Active
Other names
LAKE VIEW CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON ROBAINA JR. (REINBURSEMENT)
(605) 864-9191
Entity
Organization
Contact information
Practice address
5430 LINTON BLVD, DELRAY BEACH, FL 33484-6512
(561) 495-3188
(561) 495-3190
Mailing address
5430 LINTON BLVD, DELRAY BEACH, FL 33484-6512
(561) 495-3188
(561) 495-3190
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF12300962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0-229-610-00
—
FL
05
—
022961000
—
FL
Enumeration date
10/03/2005
Last updated
05/21/2009
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