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Organization

SPRINGFIELD GARDENS ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GILLIAN ANGELA DYCE (OWNER/ADMINISTRATOR)
(772) 871-9039
Entity
Organization

Contact information

Practice address
588 SW RAY AVE, PORT ST LUCIE, FL 34983-2950
(772) 871-9039
(772) 871-9005
Mailing address
588 SW RAY AVE, PORT ST LUCIE, FL 34983-2950
(772) 871-9039

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11322
FL

Other

Enumeration date
06/12/2008
Last updated
06/12/2008
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