Organization
SURCAN HOLDINGS LLC
Active
Other names
Mink Concierge
Organization subpart
No
Provider details
NPI number
Authorized official
LYNROD DOUGLAS (ADMINISTRATOR)
(561) 247-9069
Entity
Organization
Contact information
Practice address
217 N SEACREST BLVD, SUITE #712, BOYNTON BEACH, FL 33425-6901
(461) 247-9069
Mailing address
217 N SEACREST BLVD, SUITE #712, BOYNTON BEACH, FL 33425-6901
(561) 247-9069
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
233329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010134400
—
FL
Enumeration date
10/28/2016
Last updated
10/28/2016
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