Organization
AVALON DIVINE FAMILY RESORT ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANTOINETTE CEUS (ADMINISTRATOR)
(914) 523-1894
Entity
Organization
Contact information
Practice address
160 SW SARATOGA AVE, PORT ST LUCIE, FL 34953-5977
(914) 523-1894
Mailing address
160 SW SARATOGA AVE, PORT ST LUCIE, FL 34953-5977
(914) 523-1894
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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