# DESTY NATION, LLC

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

## Provider details

- **NPI number:** 1568287563
- **Authorized official:** SHIRLEY DESTY RN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (561) 983-1263

## Contact information

- **Practice address:** 658 SW CABURN AVE, PORT ST LUCIE, FL 34953-7667
- **Practice address phone:** (561) 983-1263
- **Mailing address:** 658 SW CABURN AVE, PORT ST LUCIE, FL 34953-7667
- **Mailing address phone:** (561) 983-1263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 11/15/2024
- **Last updated:** 11/15/2024