Braybrook Residence Alf LLC
Assisted Living Facility in Hudson, FL. Organization (NPI-2).
NPI number1992544209
StatusActive
Last updated in NPPESMay 24, 2024
Details
- NPI
- 1992544209
- Entity type
- Organization (NPI-2)
- Legal business name
- Braybrook Residence Alf LLC
- Organization subpart
- No
- Enumeration date
- May 24, 2024
- Certification date
- May 24, 2024
- Last updated
- May 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Braybrook Alf (Doing Business As)
Practice location
7532 State Road 52Hudson, FL 34667-6715
Phone 727-863-3580
Mailing address
3087 Suncoast Blend DrOdessa, FL 33556-2780
Phone 727-543-8109
Authorized official
Susanne Wamba
Administrator
7275438109
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