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Organization

MERRILL GARDENS PORT ST. LUCIE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ASHLEY BLAIR SHEPHERD LPN (DIRECTOR OF WELLNESS)
(772) 337-0084
Entity
Organization

Contact information

Practice address
9825 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-5626
(772) 337-0084
(772) 335-2662
Mailing address
9825 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-5626
(772) 337-0084
(772) 335-2662

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9628
FL

Other

Enumeration date
05/22/2008
Last updated
05/22/2008
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