Organization
PORT ST LUCIE NURSING LLC
Active
Other names
THE PALMS NURSING AND REHAB AT PORT ST. LUCIE
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA SHARPLESS (DIRECTOR OF ACCOUNTING)
(352) 874-6007
Entity
Organization
Contact information
Practice address
1655 SE WALTON RD, PORT ST LUCIE, FL 34952-7657
(772) 337-1333
(772) 337-6485
Mailing address
3599 W LAKE MARY BLVD, LAKE MARY, FL 32746-3417
(352) 874-6007
(352) 404-4078
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261637-00
—
FL
Enumeration date
06/10/2021
Last updated
06/10/2021
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