# BONNIE'S GROUP HPME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023301439
- **Authorized official:** MRS. MARIE FEBONIE JOSEPH NURSING ASSISTANT (OWNER/ ADMINISTRATOR)
- **Authorized official phone:** (772) 940-4561

## Contact information

- **Practice address:** 651 SW ADDIE ST, PORT SAINT LUCIE, FL 34983-1841
- **Practice address phone:** (772) 940-4561
- **Practice address fax:** (772) 878-3815
- **Mailing address:** 651 SW ADDIE ST, PORT SAINT LUCIE, FL 34983-1841
- **Mailing address phone:** (772) 940-4561
- **Mailing address fax:** (772) 878-3815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 15-1461 | FL | Yes |

## Other

- **Enumeration date:** 05/17/2011
- **Last updated:** 05/17/2011