The Blue Tree Cafe Limited Liability Co.

NPI #1356162952 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1356162952
Entity Type: Organization
Organization Name: The Blue Tree Cafe Limited Liability Co.
Primary Specialty: Meals
Enumeration Date: Oct 17, 2024
Last Updated: Oct 17, 2024

Practice Location

Address: 612 NW 9TH AVE STE A
City: Ft Lauderdale
State: Florida
ZIP Code: 33311-7674
Phone: (786) 239-9131

Authorized Official

Name: SHARON ALLEN, MS.
Title: OWNER
Phone: (786) 239-9131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Delivered Meals	332U00000X
Medical Foods Supplier	335G00000X
Local Education Agency (LEA)	251300000X
Meals	174200000X	Primary

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