Individual
SHANNON MARGARET EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2637 SW FAIR ISLE RD, PORT SAINT LUCIE, FL 34987-2093
(772) 446-2040
Mailing address
2637 SW FAIR ISLE RD, PORT SAINT LUCIE, FL 34987-2093
(772) 446-2040
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13887
FL
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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