Organization
VENUS HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDERSON MABOUT (ADMINISTRATOR)
(561) 507-7567
Entity
Organization
Contact information
Practice address
4242 SW BALTIC ST, PORT SAINT LUCIE, FL 34953-3141
(561) 507-7567
Mailing address
4242 SW BALTIC ST, PORT SAINT LUCIE, FL 34953-3141
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
06/01/2023
Last updated
06/27/2023
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