Organization
LUCIENNE RESIDENTIAL SERVICES, INC.
Active
Other names
LUCIENNE RESIDENTIAL SERVICES, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIEUFENE SYLVAIN (PRESIDENT)
(508) 846-2747
Entity
Organization
Contact information
Practice address
9179 FOUNTAIN RD, LAKE WORTH, FL 33467-4735
(508) 846-2747
Mailing address
4882 SW 159TH AVE, MIRAMAR, FL 33027-5645
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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