Organization
PALMETTO COURT ALF OF VENICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEX KUBIACZYK (OWNER/ADMINISTRATOR)
(941) 486-1415
Entity
Organization
Contact information
Practice address
513 MENENDEZ ST, VENICE, FL 34285-2233
(941) 486-1415
(941) 488-5612
Mailing address
513 MENENDEZ ST, VENICE, FL 34285-2233
(941) 486-1415
(941) 488-5612
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8053
FL
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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