Organization
ACADEMY ADULT ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE SULLY (ADMINISTRATOR)
(772) 530-5922
Entity
Organization
Contact information
Practice address
1958 SW DORADO LN, PORT ST LUCIE, FL 34953-1825
(772) 530-5922
Mailing address
1958 SW DORADO LN, PORT ST LUCIE, FL 34953-1825
(772) 530-5922
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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