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Organization

MA MAISON LLC

Active
Other names
Claire Labatte AFCH
Organization subpart
No

Provider details

NPI number
Authorized official
CLAIRE LABATTE-DENEAU RN (OWNER)
(305) 588-7480
Entity
Organization

Contact information

Practice address
281 SW BEDFORD RD, PORT ST LUCIE, FL 34953-6940
(772) 207-5597
(772) 361-6585
Mailing address
281 SW BEDFORD RD, PORT ST LUCIE, FL 34953-6940
(772) 207-5597
(772) 361-6585

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
03/14/2018
Last updated
03/14/2018
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