# FRONT PORCH NURSE REGISTRY LLC

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

## Provider details

- **NPI number:** 1063019693
- **Authorized official:** DARLENE DESSOURCES (ADMINISTRATOR)
- **Authorized official phone:** (954) 566-9682

## Contact information

- **Practice address:** 1680 SW BAYSHORE BLVD STE 112, PORT ST LUCIE, FL 34984-3518
- **Practice address phone:** (954) 655-9682
- **Mailing address:** PO BOX 882012, PORT ST LUCIE, FL 34988-2012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |

## Other

- **Enumeration date:** 10/06/2020
- **Last updated:** 10/06/2020