# SALEYMA HEALTH MED WAIVER SERVICES, LLC

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

## Provider details

- **NPI number:** 1447789730
- **Authorized official:** MR. FRITZ MASSON ALEXANDRE RMA, MPH (CEO/OWNER)
- **Authorized official phone:** (321) 888-1371

## Contact information

- **Practice address:** 1302 SW PAAR DR, PORT SAINT LUCIE, FL 34953-6155
- **Practice address phone:** (321) 888-1371
- **Practice address fax:** (772) 408-0574
- **Mailing address:** 1302 SW PAAR DR, PORT SAINT LUCIE, FL 34953-6155
- **Mailing address phone:** (321) 888-1371
- **Mailing address fax:** (772) 408-0574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2017
- **Last updated:** 07/21/2022