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Organization

R&C ULTIMATE CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CECILIA VERNEL CLAXTON (OWNER/ADMINISTRATOR)
(321) 987-1524
Entity
Organization

Contact information

Practice address
2660 WESTSIDE AVE SE, PALM BAY, FL 32909-7679
(321) 953-2590
Mailing address
2660 WESTSIDE AVE SE, PALM BAY, FL 32909-7679
(321) 953-2590

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12039
FL

Other

Enumeration date
02/20/2012
Last updated
02/20/2012
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