Organization
BLUE FOUNTAIN V HOME CARE, LLC
Active
Other names
Blue Fountain V Home Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDA DELINOIS (OWNER)
(954) 559-3265
Entity
Organization
Contact information
Practice address
233 BORDEAUX AVE NE, PALM BAY, FL 32907-3222
(954) 559-3265
(321) 914-4069
Mailing address
2440 EMERSON DR SE, PALM BAY, FL 32909-4972
(954) 559-3265
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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