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Organization

PALM SHADES ADULT HOME CARE ,INC

Active
Parent organization
VINORA BLAKE
Other names
Palm Shades Adult Home Care, Inc
Organization subpart
Yes

Provider details

NPI number
Legal business name
VINORA BLAKE
Authorized official
MRS. PAULINE ARAYA (ADMINISTRATOR)
(561) 667-3711
Entity
Organization

Contact information

Practice address
5702 LINCOLN CIR E, LAKE WORTH, FL 33463-6757
(561) 964-8696
(561) 964-8606
Mailing address
5702 LINCOLN CIR E, LAKE WORTH, FL 33463-6757
(561) 964-8606
(561) 964-8606

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
AI11843
FL

Other

Enumeration date
05/24/2013
Last updated
05/24/2013
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