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Organization
CRC UNIQUE
Active
Organization
CRC UNIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY HICKS LPN (MANAGER)
(561) 485-5352
Entity
Organization
Contact information
Practice address
922 SE DAMASK AVE, PORT SAINT LUCIE, FL 34983-4013
(561) 485-5352
Mailing address
922 SE DAMASK AVE, PORT SAINT LUCIE, FL 34983-4013
(561) 485-5352
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BD1200X
Dialysis Equipment & Supplies (DME)
—
NULL
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
332H00000X
Eyewear Supplier
—
NULL
332S00000X
Hearing Aid Equipment
—
NULL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
NULL
Other
Enumeration date
10/08/2026
Last updated
10/08/2026
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