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Organization

BLUE LEGACY SUPPORT INC

Active
Other names
Amada Senior Care North Fort Lauderdale FL
Organization subpart
No

Provider details

NPI number
Authorized official
SETH CLARK (PRESIDENT)
(954) 723-5480
Entity
Organization

Contact information

Practice address
2598 E SUNRISE BLVD STE 2104, FORT LAUDERDALE, FL 33304-3230
(954) 723-5422
(954) 723-5401
Mailing address
2598 E SUNRISE BLVD STE 2104, FORT LAUDERDALE, FL 33304-3230
(954) 723-5422
(954) 723-5401

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
01/08/2026
Last updated
01/08/2026
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