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Organization
YOUNG AT HEART SOCIAL CLUB LLC
Active
Organization
YOUNG AT HEART SOCIAL CLUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALENCIA CROMWELL (AUTHORIZED MEMBER)
(239) 810-5587
Entity
Organization
Contact information
Practice address
3005 OLIVE AVE S, LEHIGH ACRES, FL 33976-3961
(239) 810-5587
Mailing address
3005 OLIVE AVE S, LEHIGH ACRES, FL 33976-3961
(239) 810-5587
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
372600000X
Adult Companion
Primary
—
NULL
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/11/2026
Last updated
09/11/2026
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