Lubis Enterprise LLC

NPI #1467074484 in Leesburg, Florida

Provider Information

NPI Number
1467074484
Entity Type
Organization
Organization Name
Lubis Enterprise LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
May 13, 2020
Last Updated
May 13, 2020

Practice Location

Address
1215 LA SALIDA WAY
State
Florida
ZIP Code
34748-8272
Phone
(352) 787-3034

Authorized Official

Name
DEVIANO LUBIS
Title
OWNER
Phone
(352) 787-3034

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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