Lago Mental Health Corp

LBN: Lago Mental Health Corp
Lago Mental Health Corp is an health care organization with primary practice located at 11055 Sw 186Th St Ste 2017 , Cutler Bay FL 33157-6840. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Lago Mental Health Corp can be contacted via phone (786) 483-5523, or through Lago Jr, Adlay via phone (786) 534-8408.

Contact Information

Primary practice address
11055 Sw 186Th St Ste 2017 Cutler Bay FL 33157-6840
Fax:
Website:
Authorized official contact:
Name: Lago Jr, Adlay

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1356000640
LBN Legal business name Lago Mental Health Corp
DBA Doing business as
Authorized official Lago Jr, Adlay
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2021
Last updated Dec 14th, 2021 - about 3 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 1356000640 NPPES
Florida MEDICAID 110058400

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