Organization
OLI & ALI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA PIERRE LOUIS (OWNER)
(561) 313-9413
Entity
Organization
Contact information
Practice address
2939 SE BELLA RD, PORT ST LUCIE, FL 34984-6333
(561) 313-9413
Mailing address
2939 SE BELLA RD, PORT ST LUCIE, FL 34984-6333
(561) 313-9413
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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