Lubis Enterprise LLC

Assisted Living Facility · Leesburg, FL

Organization Active NPI

NPI number 1972125136

Practice location

1205 Bonaire Dr
Leesburg, FL 34748-5707
Phone
(352) 787-2573

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NPI record

NPI
1972125136
Entity type
Organization (Type 2)
Enumeration date
May 11, 2020
Last updated
May 11, 2020
Certified
May 11, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assisted Living Facility Primary 310400000X — —

Authorized official

Name
Deviano Lubis
Title
Owner
Phone
(352) 787-3034

About Lubis Enterprise LLC

Lubis Enterprise LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Assisted Living Facility (code 310400000X). The practice location is 1205 Bonaire Dr, Leesburg, FL 34748-5707. The NPI number 1972125136 was assigned on May 11, 2020 and the record was last updated on May 11, 2020.

The authorized official for this organization is Deviano Lubis, Owner.

Frequently asked questions

What is the NPI number of Lubis Enterprise LLC?

The NPI number is 1972125136.

What is the phone number of Lubis Enterprise LLC?

The phone number listed for the practice location is (352) 787-2573.

Where is Lubis Enterprise LLC located?

1205 Bonaire Dr, Leesburg, FL 34748-5707.

What is the taxonomy code for Lubis Enterprise LLC?

The primary taxonomy code is 310400000X – Assisted Living Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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