Organization
CHERRY BLOSSOM ASSISTED LIVING FACILITY, LLC
Active
Other names
GCG Group Enterprises, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE CLAXTON (PRESIDENT)
(321) 987-5406
Entity
Organization
Contact information
Practice address
136 DEAUVILLE AVE NE, PALM BAY, FL 32907-3031
(321) 987-5406
Mailing address
PO BOX 100126, PALM BAY, FL 32910-0126
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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