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Organization
VITALITY SPRING RESORT ALF LLC
Active
Organization
VITALITY SPRING RESORT ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE JEAN DORVAL RN, BSN (OWNER)
(772) 940-9219
Entity
Organization
Contact information
Practice address
121 SW OAKRIDGE DR, PORT ST LUCIE, FL 34984-4934
(772) 207-7947
(772) 408-0969
Mailing address
11380 SW HILLCREST CIR, PORT ST LUCIE, FL 34987-2704
(772) 940-9219
(772) 408-0969
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/20/2022
Last updated
09/07/2022
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