Organization
THE LUMINOUS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYESH DAVE (SOLE MBR)
(954) 263-1514
Entity
Organization
Contact information
Practice address
5080 COCONUT CREEK PKWY STE C, MARGATE, FL 33063-3997
(954) 263-1514
Mailing address
5080 COCONUT CREEK PKWY STE C, MARGATE, FL 33063-3997
(954) 905-6225
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
04/30/2026
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