Organization
ABC HOME CARE FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTINE JEAN REGISTERED NURSE (OWNER)
(561) 317-4752
Entity
Organization
Contact information
Practice address
301 MULBERRY GROVE RD, ROYAL PALM BEACH, FL 33411-4500
(561) 317-4752
(561) 795-7391
Mailing address
301 MULBERRY GROVE RD, ROYAL PALM BEACH, FL 33411-4500
(561) 317-4752
(561) 795-7391
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9184296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
599077
—
FL
Enumeration date
08/21/2015
Last updated
08/21/2015
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