Organization
LOVING CARE OF THE TREASURE COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNMARIE LEWIS COLEMAN (ADMINISTRATOR)
(772) 240-9850
Entity
Organization
Contact information
Practice address
2102 SW LARCHMONT LN, PORT SAINT LUCIE, FL 34984-4321
(772) 207-7136
(772) 207-7148
Mailing address
2102 SW LARCHMONT LN, PORT SAINT LUCIE, FL 34984-4321
(772) 207-7136
(772) 207-7148
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
AL12683
FL
310400000X
Assisted Living Facility
Primary
AL12683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AL12683
—
FL
Enumeration date
07/28/2015
Last updated
05/08/2018
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