Organization
LAKES QUALITY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELLA ELLIOTT (OWNER)
(954) 730-8800
Entity
Organization
Contact information
Practice address
3661 NW 29TH ST, LAUDERDALE LAKES, FL 33311-1846
(954) 730-8800
(954) 730-8800
Mailing address
3661 NW 29TH ST, LAUDERDALE LAKES, FL 33311-1846
(954) 730-8800
(954) 730-8800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL12199
AHCA LICENSE NUMBER
FL
Enumeration date
06/26/2012
Last updated
06/26/2012
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