Organization
RUTH AND EMILE ALLEGIANCE GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH JACKSON CARE GIVER (OWNER)
(561) 635-5130
Entity
Organization
Contact information
Practice address
225 SWAIN BLVD, GREENACRES, FL 33463
(561) 635-5130
Mailing address
225 SWAIN BLVD, GREENACRES, FL 33463
(561) 635-5130
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83362554
APD
FL
Enumeration date
10/01/2021
Last updated
10/01/2021
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