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Organization
SOUTH FLORIDA HOME MODIFICATION LLC
Active
Organization
SOUTH FLORIDA HOME MODIFICATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN RUSSO (MGR/MEMBER)
(561) 660-4480
Entity
Organization
Contact information
Practice address
931 VILLAGE BLVD STE 905-417, WEST PALM BEACH, FL 33409-1803
(561) 660-4480
Mailing address
931 VILLAGE BLVD STE 905-417, WEST PALM BEACH, FL 33409-1803
(561) 660-4480
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
FL
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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