Organization
VITALITY OASIS ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE J DORVAL (OWNER)
(772) 940-9219
Entity
Organization
Contact information
Practice address
1117 SW SUDDER AVE, PORT SAINT LUCIE, FL 34953-1420
(772) 207-7947
(772) 408-0969
Mailing address
11380 SW HILLCREST CIR, PORT SAINT LUCIE, FL 34987-2704
(772) 940-9219
(772) 408-0969
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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