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Organization
TONI MARY HOME ALF CORP
Active
Organization
TONI MARY HOME ALF CORP
Active
Other names
Tony Mary Assisted Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL VELASQUEZ (OWNER)
(772) 985-0929
Entity
Organization
Contact information
Practice address
1662 SW ALVATON AVE, PORT ST LUCIE, FL 34953-4700
(772) 985-0929
Mailing address
1662 SW ALVATON AVE, PORT ST LUCIE, FL 34953-4700
(772) 985-0929
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017757700
—
FL
05
—
111589400
—
FL
Enumeration date
12/03/2014
Last updated
03/22/2022
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