# WILNIQUE PEACEFUL ADULT FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1467843110
- **Authorized official:** MR. WILNIQUE TURENNE (ADMINISTRATOR)
- **Authorized official phone:** (954) 934-5852

## Contact information

- **Practice address:** 4435 SW MASEFIELD ST, PORT ST LUCIE, FL 34953-6867
- **Practice address phone:** (954) 934-5852
- **Mailing address:** 4435 SW MASEFIELD ST, PORT ST LUCIE, FL 34953-6867
- **Mailing address phone:** (954) 934-5852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906735 | FL | Yes |

## Other

- **Enumeration date:** 02/16/2015
- **Last updated:** 02/16/2015