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Organization

FRONT PORCH NURSE REGISTRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARLENE DESSOURCES (ADMINISTRATOR)
(954) 566-9682
Entity
Organization

Contact information

Practice address
1680 SW BAYSHORE BLVD STE 112, PORT ST LUCIE, FL 34984-3518
(954) 655-9682
Mailing address
PO BOX 882012, PORT ST LUCIE, FL 34988-2012

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
251J00000X
Nursing Care Agency
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide

Other

Enumeration date
10/06/2020
Last updated
10/06/2020
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