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Organization
BLUE LEGACY SUPPORT INC
Active
Organization
BLUE LEGACY SUPPORT INC
Active
Other names
Amada Senior Care North Fort Lauderdale FL
Organization subpart
No
Provider details
NPI number
Authorized official
SETH CLARK (PRESIDENT)
(954) 723-5480
Entity
Organization
Contact information
Practice address
2598 E SUNRISE BLVD STE 2104, FORT LAUDERDALE, FL 33304-3230
(954) 723-5422
(954) 723-5401
Mailing address
2598 E SUNRISE BLVD STE 2104, FORT LAUDERDALE, FL 33304-3230
(954) 723-5422
(954) 723-5401
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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