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Organization

B & B ANGEL'S HOME LLC

Active
Other names
B & B ANGEL'S HOME LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARYSE DESLOUCHES (OWNER)
(305) 956-9030
Entity
Organization

Contact information

Practice address
150 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34984-5041
(305) 956-9030
Mailing address
150 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34984-5041
(305) 956-9030

Taxonomy

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

Other

Enumeration date
11/07/2023
Last updated
11/07/2023
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