Organization
DEVINDALE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE ELAINE BUCK REGISTERED NURSE (ADMINISTRATOR)
(386) 313-3359
Entity
Organization
Contact information
Practice address
6 ZODIACAL PL, PALM COAST, FL 32164-5811
(386) 313-3359
(386) 437-9973
Mailing address
6 ZODIACAL PL, PALM COAST, FL 32164-5811
(386) 313-3359
(386) 437-9973
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11247
FL
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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