Organization
SUESHANE, LLC
Active
Organization
SUESHANE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE SMITH (CEO)
(754) 366-9014
Entity
Organization
Contact information
Practice address
855 NW 45TH TER, PLANTATION, FL 33317-1504
(754) 366-9014
Mailing address
855 NW 45TH TER, PLANTATION, FL 33317-1504
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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