Organization
THE PALMS OF FLORIDA AFCH, LLC
Active
Parent organization
THE PALMS OF FLORIDA AFCH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PALMS OF FLORIDA AFCH, LLC
Authorized official
MISS JEANNETTE L PROPHETE LPN (ADMINISTRATOR)
(321) 735-0814
Entity
Organization
Contact information
Practice address
2460 S COURTENAY PKWY, MERRITT ISLAND, FL 32952-4117
(321) 215-1641
Mailing address
2460 S COURTENAY PKWY, MERRITT ISLAND, FL 32952-4117
(321) 735-0814
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
6906335
FL
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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