Whalio Doctors

NPI 1083011506

Lighthouse Healthcare Management North LLC

Organisation Assisted Living Facility Pompano Beach, FL

Practice location

Address
3208 NE 11th St, Pompano Beach, FL 33062-3910
Phone
(954) 943-6318
Mailing address
555 Madison Ave 19th Floor, New York, NY 10022-3301

Authorised official

Name
Samuel Tennenbaum
Title
Cfo
Phone
(212) 616-8819

Registered specialties

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL8339 (FL)

Registry record

NPI
1083011506
Entity type
Organization
NPI issued
26 Nov 2014
Record last updated
26 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.