Organization
BAXTER'S ADULT LIVING FACILITY. INC
Active
Other names
Baxter's Adult Home
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE S FRELANI (OWNER/ADMINISTRATOR)
(772) 871-7865
Entity
Organization
Contact information
Practice address
1092 SW MAJORCA AVENUE, PORT ST LUCIE, FL 34953
(772) 871-7865
(772) 871-7988
Mailing address
1092 SW MAJORCA AVENUE, PORT ST LUCIE, FL 34953
(772) 871-7865
(772) 871-7988
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11666
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001599100
—
FL
Enumeration date
04/10/2013
Last updated
04/10/2013
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