Organization
LILAC HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMBER BROOKS (MANAGER)
(321) 458-8327
Entity
Organization
Contact information
Practice address
1770 S LILAC CIR, TITUSVILLE, FL 32796-3274
(321) 626-6672
Mailing address
1770 S LILAC CIR, TITUSVILLE, FL 32796-3274
(321) 626-6672
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11050
FL
Other
Enumeration date
03/29/2013
Last updated
08/29/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up