Organization
JADE MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRVIN MORALES (OWNER)
(786) 340-8053
Entity
Organization
Contact information
Practice address
6625 OLD PASCO RD, WESLEY CHAPEL, FL 33544
(786) 340-8053
Mailing address
19467 BREYNIA DR, LUTZ, FL 33558-5538
(786) 340-8053
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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