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Kan Lake Corporation Inc.
Assisted Living Facility (Mental Illness) in Fort Pierce, Florida
NPI 1477846129

Kan Lake Corporation Inc. is an Assisted Living Facility (Mental Illness) based in Fort Pierce, FL and is specialized in Assisted Living, Mental Illness. Kan Lake Corporation Inc. practices in Fort Pierce, FL. The NPI Number for Kan Lake Corporation Inc. is 1477846129 and holds a License No. AL9025 (Florida).

The current practice location address for Kan Lake Corporation Inc. is 308 S 30Th St, Fort Pierce, FL and can be reached out via phone at 772-519-4327.

Location: 308 S 30Th St, Fort Pierce, FL, 34947-7205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477846129
Provider Name
Kan Lake Corporation Inc.
Credential
Provider Entity Type
Organization
Address
308 S 30Th St, Fort Pierce, FL, 34947-7205
Phone Number
772-519-4327
Fax Number
Provider Enumeration Date
05/26/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141943900 05 FL
institution
Provider Business Practice Location Address Details
Address
308 S 30Th St
City
Fort Pierce
State
Florida
Zip
34947-7205
Phone Number
772-519-4327
Fax Number
person
Provider Business Mailing Address Details
Address
308 S 30Th St
City
Fort Pierce
State
Florida
Zip
34947-7205
Phone Number
772-519-4327
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
AL9025 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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