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Organization

EGRET POND, LLC

Active
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Organization

EGRET POND, LLC

Active
Other names
Egret Pond Adult Daycare
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT R. DELUCA (OWNER)
(772) 288-1288
Entity
Organization

Contact information

Practice address
1760 SE SALERNO RD, STUART, FL 34997-6442
(772) 288-1288
(772) 219-8458
Mailing address
1760 SE SALERNO RD, STUART, FL 34997-6442
(772) 288-1288
(772) 219-8458

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
CE9977335
FL

Other

Enumeration date
03/27/2009
Last updated
03/27/2009
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