Organization
DORREL'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARL A SHEPHERD JR. (ADMINISTRATOR)
(772) 353-5300
Entity
Organization
Contact information
Practice address
1712 SW EFFLAND AVE, PORT SAINT LUCIE, FL 34953-5147
(772) 353-5300
(772) 207-5686
Mailing address
1712 SW EFFLAND AVE, PORT SAINT LUCIE, FL 34953-5147
(772) 353-5300
(772) 207-5686
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12581
FL
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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