Organization
MAGGIES HAVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUITA M GREEN-NORFLEE CNA (MGR)
(352) 602-1175
Entity
Organization
Contact information
Practice address
636 PALMETTO ST, EUSTIS, FL 32726-3123
(352) 602-1175
Mailing address
1707 HOLLYWOOD AVE, EUSTIS, FL 32726-3111
(352) 602-1175
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117291100
—
FL
Enumeration date
05/22/2023
Last updated
09/27/2024
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