Organization
JACQUIS PALACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYNE V BENDIG (OWNER)
(305) 469-3985
Entity
Organization
Contact information
Practice address
771 W 27TH ST, HIALEAH, FL 33010-1215
(305) 469-3985
(305) 225-1289
Mailing address
771 W 27TH ST, HIALEAH, FL 33010-1215
(305) 469-3985
(305) 225-1289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141236100
—
FL
Enumeration date
05/30/2007
Last updated
06/13/2008
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