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Organization

CHERRYWOOD GARDEN GROUP HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEVERLY CAMPBELL (CEO)
(772) 672-1555
Entity
Organization

Contact information

Practice address
2808 S 10TH ST, FORT PIERCE, FL 34982-4306
(772) 672-1555
Mailing address
2808 S 10TH ST, FORT PIERCE, FL 34982-4306
(772) 672-1555

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
12/21/2016
Last updated
12/21/2016
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