Organization
RETREAT ON BYWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROOVENS PIERRE LOUIS LMT (ADMINISTRATOR)
(404) 707-0784
Entity
Organization
Contact information
Practice address
990 SE BYWOOD AVE, PORT ST LUCIE, FL 34983-4065
(773) 333-2203
(772) 333-2203
Mailing address
990 SE BYWOOD AVE, PORT ST LUCIE, FL 34983-4065
(773) 333-2203
(772) 333-2203
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12435
FL
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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