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Organization

BONNIE'S GROUP HPME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIE FEBONIE JOSEPH NURSING ASSISTANT (OWNER/ ADMINISTRATOR)
(772) 940-4561
Entity
Organization

Contact information

Practice address
651 SW ADDIE ST, PORT SAINT LUCIE, FL 34983-1841
(772) 940-4561
(772) 878-3815
Mailing address
651 SW ADDIE ST, PORT SAINT LUCIE, FL 34983-1841
(772) 940-4561
(772) 878-3815

Taxonomy

Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
15-1461
FL

Other

Enumeration date
05/17/2011
Last updated
05/17/2011
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