Organization
BUDDY'S PLACE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANNIS A. LEBELLOT (OWNER/ADMINISTRATOR)
(786) 374-6040
Entity
Organization
Contact information
Practice address
229 LAUREL WAY, MIAMI SPRINGS, FL 33166-5138
(305) 888-7165
Mailing address
229 LAUREL WAY, MIAMI SPRINGS, FL 33166-5138
(305) 888-7165
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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