Kan Lake Corporation Inc
Kan Lake Corporation Inc is an Assisted Living Facility (Mental Illness) in Fort Pierce, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
308 S 30th StFort Pierce, FL 34947-7205
Phone: (772) 519-4327
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (Mental Illness) (primary) | Taxonomy 3104A0625X · Licence AL9025 (FL) |
|---|
Record details
| NPI number | 1477846129 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kamlawaty Lakram — Administrator · (772) 519-4327 |
| NPI enumerated | May 26, 2011 |
| Last updated in NPPES | May 26, 2011 |
| Mailing address | 308 S 30th St, Fort Pierce, FL 34947-7205 |
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