Organization
EAGER CARE PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABVIENNE SAINT JUSTE LPN (OWNER)
(786) 744-0525
Entity
Organization
Contact information
Practice address
5920 LONG PEAK DR, ORLANDO, FL 32810-3244
(786) 744-0525
(407) 601-3127
Mailing address
1154 E 10TH ST, APOPKA, FL 32703-5405
(786) 744-0525
(407) 601-3127
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
07/13/2023
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