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Organization

HU AND JANE LLC

Active
Other names
Balmore Place ALF
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. FAE SMITH (ADMINISTRATOR)
(561) 644-7753
Entity
Organization

Contact information

Practice address
14315 83RD LN N, LOXAHATCHEE, FL 33470-4397
(561) 753-6002
Mailing address
14315 83RD LN N, LOXAHATCHEE, FL 33470-4397
(561) 753-6002

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 12034
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008746700
FL
Enumeration date
09/16/2015
Last updated
09/16/2015
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