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Organization
01030712 LLC
Active
Organization
01030712 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NEAL (OWNER)
(561) 290-0980
Entity
Organization
Contact information
Practice address
3801 PGA BLVD, SUITE 600 - OFFICE 651, PALM BEACH GARDENS, FL 33410
(561) 293-2522
(561) 284-8811
Mailing address
153 BENT TREE DR, PALM BEACH GARDENS, FL 33418-3599
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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