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Organization

BRAYBROOK RESIDENCE ALF LLC

Active
Other names
Braybrook ALF
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSANNE WAMBA (ADMINISTRATOR)
(727) 543-8109
Entity
Organization

Contact information

Practice address
7532 STATE ROAD 52, HUDSON, FL 34667-6715
(727) 863-3580
Mailing address
3087 SUNCOAST BLEND DR, ODESSA, FL 33556-2780
(727) 543-8109

Taxonomy

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

Other

Enumeration date
05/24/2024
Last updated
05/24/2024
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