| NPI | 1750681052 |
|---|---|
| Doing Business As | LAEL SENIOR DAYCARE |
| Entity Type | Organization |
| Authorized Contact | DOROTHY AGATHA ROBERTS Administrator 954-985-4267 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL 6906149) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: FL 6906149) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |