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General NPI Number Information
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NPI Number | 1467838607
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Entity Type | Organization
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Legal Business Name | L&B SOLUTIONS CARE GROUP HOMES, INC.
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 1600 NW 121ST AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-2555
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Country | US
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Telephone | 305-469-3482
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 NW 121ST AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-2555
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. LEONIE NELSON
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Credential |
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Telephone | 305-469-3482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 10-2930GH
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License Number State | FL
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