Lubis Enterprise LLC
NPI #1477175636 in Fruitland Park, Florida
Provider Information
- NPI Number
- 1477175636
- Entity Type
- Organization
- Organization Name
- Lubis Enterprise LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 11, 2020
- Last Updated
- May 11, 2020
Practice Location
- Address
- 36321 GRAYS AIRPORT RD
- City
- Fruitland Park
- State
- Florida
- ZIP Code
- 34731-5418
- Phone
- (352) 460-0754
Authorized Official
- Name
- DEVIANO LUBIS
- Title
- OWNER
- Phone
- (352) 787-3034
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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