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1730581117
LIGHTHOUSE CREW
FORT LAUDERDALE, FL
NPI
1730581117
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Entity Type
Organization
Authorized Contact
JIM ESCHBACH
President
954-522-5003
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2014-09-17
Last Update Date
2014-09-17
Business Address
LIGHTHOUSE CREW
417 SW 12TH ST
FORT LAUDERDALE, FL 33315-1406
Phone number: 954-522-5003
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Mailing Address
LIGHTHOUSE CREW
757 SE 17TH ST # 811
FORT LAUDERDALE, FL 33316-2960
Phone number:
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