# PATRIOT HEALTH AND WELLNESS

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

## Provider details

- **NPI number:** 1316250764
- **Authorized official:** MR. ARASH MOSSAFA (ONWER)
- **Authorized official phone:** (772) 237-1313

## Contact information

- **Practice address:** 1701 SE HILLMOOR DR, SUITE A-1, PORT ST LUCIE, FL 34952-7552
- **Practice address phone:** (772) 237-1313
- **Practice address fax:** (877) 637-7509
- **Mailing address:** 1701 SE HILLMOOR DR, SUITE A-1, PORT ST LUCIE, FL 34952-7552
- **Mailing address phone:** (772) 237-1313
- **Mailing address fax:** (877) 637-7509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | FL | Yes |

## Other

- **Enumeration date:** 07/14/2010
- **Last updated:** 07/14/2010