Lake Erswin, LLC

NPI #1063691913 in Hialeah, Florida

Provider Information

NPI Number: 1063691913
Entity Type: Organization
Organization Name: Lake Erswin, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Oct 29, 2007
Last Updated: Oct 29, 2007

Practice Location

Address: 240 E 5TH ST
City: Hialeah
State: Florida
ZIP Code: 33010-4822
Phone: (786) 419-6949

Authorized Official

Name: CLAUDIA PACE
Title: DIRECTOR OF OPERATIONS
Phone: (786) 419-6949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X
Assisted Living Facility	310400000X	Primary

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