Organization
GREEN LEAF AND COMPANY, LLC
Active
Other names
The Palms Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
ONGELIA MOORE (MANAGER)
(248) 343-1695
Entity
Organization
Contact information
Practice address
7364 LAGOOD RD, SPRING HILL, FL 34606
(352) 684-4984
(352) 684-4984
Mailing address
8100 WPA RD, BROOKSVILLE, FL 34601-7056
(248) 343-1695
(352) 684-4984
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
11765
FL
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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