NPI 1104173350

Center for Independent Living of Broward

Organisation Case Management Agency Lauderdale Lakes, FL

Practice location

Address: 4800 N State Road 7 Suite 102, Lauderdale Lakes, FL 33319-5811
Phone: (954) 722-6400
Fax: (954) 735-1958

Authorised official

Name: Craig Lilienthal
Title: Board of Directors President
Phone: (954) 722-6400

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1104173350
Entity type: Organization
NPI issued: 7 Aug 2012
Record last updated: 7 Aug 2012

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.