Provider Demographics
NPI:1427702943
Name:LORENZO'S ENTERPRISES GROUP INC
Entity type:Organization
Organization Name:LORENZO'S ENTERPRISES GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-219-3856
Mailing Address - Street 1:9485 SW 180TH ST
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-5621
Mailing Address - Country:US
Mailing Address - Phone:305-378-0865
Mailing Address - Fax:866-623-4407
Practice Address - Street 1:9485 SW 180TH ST
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-5621
Practice Address - Country:US
Practice Address - Phone:305-219-3856
Practice Address - Fax:866-623-4407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities