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Organization
THE RESIDENCE OF STUART
Active
Organization
THE RESIDENCE OF STUART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOSAMMA THOMAS R.N. (ADMINISTRATOR)
(772) 692-2577
Entity
Organization
Contact information
Practice address
1048 NW FORK RD, STUART, FL 34994-7603
(772) 692-2577
Mailing address
1048 NW FORK RD, STUART, FL 34994-7603
(772) 692-2577
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8163
FL
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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