OUR PLACE, LLC
Residential Treatment Facilities at Federal Hwy, Pompano Beach, FL

License number
Florida 1706AD870001
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: JOSE FLORES
Title: BILLING COORDINATOR
Phone: (754) 201-2265
Address
Address
4699 N Federal Hwy SUITE 206A, Pompano Beach, FL 33064
National Provider ID: 1235400938
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about OUR PLACE, LLC at bizstanding.com

OUR PLACE, LLC

Pompano Beach, FL

Industry:
Individual/Family Services, Nonclassifiable Establishments
Registration:
Mar 8, 2010
Addresses:
2301 W Sample Rd BLDG 4 STE 1B & 2B, Pompano Beach, FL 33073 (Physical)
2301 W Sample Rd BLDG 4 SUITE 1A, Pompano Beach, FL 33073 (Mailing)
460 S Ocean Dr, Pompano Beach, FL 33441
4699 N Federal Hwy, Pompano Beach, FL 33064
State ID:
L10000025906
Business type:
Florida Limited Liability Company
Managing Members:
Edmund K Lackner (Managing Member), 2301 W Sample Rd, Pompano Beach, FL 33073 (Physical),Kevin King (Treasurer), 2301 W Sample Rd, Pompano Beach, FL 33073 (Physical),Robert Bongard (Treasurer), 2301 W Sample Rd, Pompano Beach, FL 33073 (Physical),...
Agent:
Edmund Lackner,460 S Ocean Dr, Deerfield Beach, FL 33441 (Physical)
EIN:
800558700
Categories:
Addiction Information & Treatment

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