Organization
HAMMOCK GROVE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI POE (OWNER)
(617) 938-1648
Entity
Organization
Contact information
Practice address
2051 SW VILLANOVA RD, PORT ST LUCIE, FL 34953-1308
(617) 938-1648
Mailing address
11582 SW VILLAGE PKWY # 1090, PORT SAINT LUCIE, FL 34987-2392
(617) 938-1648
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/31/2024
Last updated
08/28/2024
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