# THE COLONNADES GROUP HOME, INC

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

## Provider details

- **NPI number:** 1881828424
- **Authorized official:** JACKIE M STROTHER LPN (ADMINISTRATOR)
- **Authorized official phone:** (561) 541-1604

## Contact information

- **Practice address:** 1962 SW MCALLISTER LN, PORT ST LUCIE, FL 34953-2063
- **Practice address phone:** (561) 541-1604
- **Practice address fax:** (772) 204-2341
- **Mailing address:** 1962 SW MCALLISTER LN, PORT ST LUCIE, FL 34953-2063
- **Mailing address phone:** (561) 541-1604
- **Mailing address fax:** (772) 204-2341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/12/2009
- **Last updated:** 05/12/2009
