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Organization
VAN-LEIGH OF VERO BEACH, LLC
Active
Organization
VAN-LEIGH OF VERO BEACH, LLC
Active
Other names
Green Gables ALF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN JAMES VAN BENSCHOTEN (OWNER/ADMINISTRATOR)
(772) 794-1277
Entity
Organization
Contact information
Practice address
1934 22ND AVE, VERO BEACH, FL 32960-3084
(772) 794-1277
(772) 794-2488
Mailing address
615 IRIS LN, VERO BEACH, FL 32963-1859
(772) 794-1277
(772) 794-2488
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9844
FL
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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