Organization
SL MANGROVE, LLC
Active
Other names
Mangrove Bay
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY WISE (EXECUTIVE DIRECTOR)
(561) 575-4341
Entity
Organization
Contact information
Practice address
110 E MANGROVE BAY WAY, JUPITER, FL 33477-6401
(561) 575-3123
Mailing address
110 E MANGROVE BAY WAY, JUPITER, FL 33477-6401
(561) 575-3123
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10191
FL
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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