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Organization
SUSIES HOME LLC
Active
Organization
SUSIES HOME LLC
Active
Other names
Susie's Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUNICHI OBAMA (CEO)
(386) 437-3131
Entity
Organization
Contact information
Practice address
28B KARAT PATH, PALM COAST, FL 32164-5670
(386) 437-3131
(386) 437-3131
Mailing address
28B KARAT PATH, PALM COAST, FL 32164-5670
(386) 437-3131
(386) 437-3131
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12354
FL
Other
Enumeration date
05/01/2013
Last updated
05/22/2013
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