Organization
LESALDO HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DAWNMARIE LESALDO (CEO)
(772) 873-1190
Entity
Organization
Contact information
Practice address
422 SW TULIP BLVD, PORT SAINT LUCIE, FL 34953-6243
(772) 873-1190
Mailing address
422 SW TULIP BLVD, PORT SAINT LUCIE, FL 34953-6243
(772) 873-1190
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/17/2014
Last updated
09/22/2014
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