# HOSPITAL WITHOUT WALLS OF PORT ST. LUCIE, INC

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

## Provider details

- **NPI number:** 1306002365
- **Authorized official:** MR. BAHER F HABIB RPT (PRESIDENT)
- **Authorized official phone:** (561) 436-9595

## Contact information

- **Practice address:** 201 SW PORT ST LUCIE BLVD, STE 106, PORT ST LUCIE, FL 34984-5023
- **Practice address phone:** (772) 879-9700
- **Practice address fax:** (772) 879-9777
- **Mailing address:** 201 SW PORT ST LUCIE BLVD, STE 106, PORT ST LUCIE, FL 34984-5023
- **Mailing address phone:** (772) 879-9700
- **Mailing address fax:** (772) 879-9777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2008
- **Last updated:** 02/21/2012