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Organization
WILNIQUE PEACEFUL ADULT FAMILY CARE HOME
Active
Organization
WILNIQUE PEACEFUL ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILNIQUE TURENNE (ADMINISTRATOR)
(954) 934-5852
Entity
Organization
Contact information
Practice address
4435 SW MASEFIELD ST, PORT ST LUCIE, FL 34953-6867
(954) 934-5852
Mailing address
4435 SW MASEFIELD ST, PORT ST LUCIE, FL 34953-6867
(954) 934-5852
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906735
FL
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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