Organization
BLUE FOUNTAIN III HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDA DELINOIS (ADMINISTRATOR/OWNER)
(954) 559-3265
Entity
Organization
Contact information
Practice address
160 MAYWOOD AVE NW, PALM BAY, FL 32907-2967
(321) 345-4353
Mailing address
160 MAYWOOD AVE NW, PALM BAY, FL 32907-2967
(321) 345-4353
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/03/2021
Last updated
06/10/2024
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