Individual
ONVIA Y GRIMSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
8284 REDCEDAR PL, PORT ST LUCIE, FL 34952-2613
(772) 333-2021
Mailing address
8284 REDCEDAR PL, PORT ST LUCIE, FL 34952-2613
(772) 227-0157
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
257428
FL
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
06/08/2023
Last updated
06/22/2023
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