Organization
E & R VB VENTURES, LLC
Active
Other names
Green Gables Assisted Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD VAN BENSCHOTEN (OWNER/ADMINISTRATOR)
(772) 794-1277
Entity
Organization
Contact information
Practice address
1934 22ND AVE, VERO BEACH, FL 32960-3084
(772) 794-1277
Mailing address
1934 22ND AVE, VERO BEACH, FL 32960-3084
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9844
FL
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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