Organization
MADELINE CHATEAU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADELINE AZOUKI (OWNER)
(727) 410-1688
Entity
Organization
Contact information
Practice address
8118 DIABLO CT, TRINITY, FL 34655-5126
(727) 410-1688
(727) 376-6025
Mailing address
8118 DIABLO COURT, TRINITY, FL 34655
(727) 410-1688
(727) 376-6025
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906223
FL
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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