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1639689243
MA MAISON LLC
PORT ST LUCIE, FL
NPI
1639689243
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Entity Type
Organization
Authorized Contact
GUSTI LABATTE-DENEAU
Owner/Administrator
917-207-4785
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2017-10-09
Last Update Date
2017-10-09
Business Address
MA MAISON LLC
281 SW BEDFORD RD
PORT ST LUCIE, FL 34953-6940
Phone number: 917-207-4785
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Mailing Address
MA MAISON LLC
1632 SW IVY ST
PORT ST LUCIE, FL 34987-2248
Phone number: 917-207-4785
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