Kan Lake Corporation Inc.

LBN: Kan Lake Corporation Inc.
Kan Lake Corporation Inc. is an health care organization with primary practice located at 308 S 30Th St , Fort Pierce FL 34947-7205. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Kan Lake Corporation Inc. can be contacted via phone (772) 519-4327, or through Lakram, Kamlawaty via phone (772) 519-4327.

Contact Information

Primary practice address
308 S 30Th St Fort Pierce FL 34947-7205
Phone: (772) 519-4327
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lakram, Kamlawaty CORE
Phone: (772) 519-4327

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X AL9025 Florida

Profile Details

NPI number 1477846129
LBN Legal business name Kan Lake Corporation Inc.
DBA Doing business as
Authorized official Lakram, Kamlawaty CORE
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2011
Last updated May 26th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477846129 NPPES
Florida MEDICAID 141943900

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