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Organization

ORDEAN MARTINS SOCIAL & RECREATIONAL CENTER LLC

Active
Other names
ORDEAN MARTINS SOCIAL & RECREATIONAL CENTER LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TARASGELA M. WILSON (ADMINISTRATOR)
(561) 493-4653
Entity
Organization

Contact information

Practice address
800 W CANAL ST S UNIT 816, BELLE GLADE, FL 33430-2942
(561) 493-4653
Mailing address
800 W CANAL ST S UNIT 816, BELLE GLADE, FL 33430-2942
(561) 493-4653

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121638800
FL
01
261QA0600X
TAXONOMY
FL
Enumeration date
06/07/2024
Last updated
08/16/2024
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