Organization · Type 2 NPI

Kan Lake Corporation Inc.

Assisted Living Facility (Mental Illness) · Fort Pierce, FL

NPI number 1477846129 Active

Practice location

308 S 30th St
Fort Pierce, FL 34947-7205

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility (Mental Illness) Primary 3104A0625XAL9025 (FL)

Assisted Living Facility (Mental Illness): 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.

3 other providers at this address

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About NPI 1477846129

Kan Lake Corporation Inc.'s National Provider Identifier is 1477846129, issued on May 26, 2011. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Fort Pierce, FL. The record was last updated on May 26, 2011.