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Organization

EASTBROOKE GARDENS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOUGLAS MATTHEW KLINOWSKI (PRESIDENT)
(407) 699-5002
Entity
Organization

Contact information

Practice address
201 N. SUNSET DRIVE, CASSELBERRY, FL 32707
(407) 699-5002
(407) 699-4826
Mailing address
201 N. SUNSET DRIVE, CASSELBERRY, FL 32707
(407) 699-5002
(407) 699-4826

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL5355
FL
311500000X
Alzheimer Center (Dementia Center)
Primary
AL5355
FL

Other

Enumeration date
01/29/2008
Last updated
03/02/2009
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