Organization
DEJAY'S ADULT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUTHEIL VERONICA FRECKLETON (ADMINISTRATOR)
(954) 792-4874
Entity
Organization
Contact information
Practice address
700 NW 65TH AVE, PLANTATION, FL 33317-1706
(954) 792-4874
(954) 792-4874
Mailing address
700 NW 65TH AVE, PLANTATION, FL 33317-1706
(954) 792-4874
(954) 792-4874
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906123
FL
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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