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Organization

FABULOUS RESORT ASSISTED LIVING FACILITATOR LLC

Active
Other names
Fabiola Alexandre
Organization subpart
No

Provider details

NPI number
Authorized official
FABIOLA ALEXANDRE (ADMINISTRATOR)
(561) 541-2089
Entity
Organization

Contact information

Practice address
1762 SE CARVALHO ST, PORT SAINT LUCIE, FL 34983-4554
(561) 541-2089
Mailing address
1762 SE CARVALHO ST, PORT SAINT LUCIE, FL 34983-4554
(561) 541-2089

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL13125
FL

Other

Enumeration date
02/06/2018
Last updated
02/06/2018
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