Lubis Enterprise LLC

NPI #1972125136 in Leesburg, Florida

Provider Information

NPI Number
1972125136
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
1205 BONAIRE DR
State
Florida
ZIP Code
34748-5707
Phone
(352) 787-2573

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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