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Organization
SHAQUEENA LOUIS LLC
Active
Organization
SHAQUEENA LOUIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAQUEENA LOUIS (OWNER AND ADMINISTRATOR)
(772) 646-1351
Entity
Organization
Contact information
Practice address
2949 SW SKYLINE ST, PORT SAINT LUCIE, FL 34953-3342
(772) 646-1351
(772) 646-1351
Mailing address
2949 SW SKYLINE ST, PORT SAINT LUCIE, FL 34953-3342
(772) 646-1351
(772) 646-1351
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
08/25/2026
Last updated
10/05/2026
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