Organization
CHARMAINE HARDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMAINE HARDEN (ADMINISTRATOR)
(561) 574-3171
Entity
Organization
Contact information
Practice address
6908 NW KOWAL CT, PORT SAINT LUCIE, FL 34986-4639
(561) 574-3171
Mailing address
6908 NW KOWAL CT, PORT SAINT LUCIE, FL 34986-4639
(561) 574-3171
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906117
FL
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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