Organization
ST. LUCIE HOPE GARDENS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN HENRY RN (ADMINISTRATOR)
(772) 237-2428
Entity
Organization
Contact information
Practice address
337 SW GRIMALDO TERAACE, PORT SAINT LUCIE, FL 34984
(772) 212-3733
(772) 237-2428
Mailing address
337 SW GRIMALDO TERAACE, PORT SAINT LUCIE, FL 34984
(772) 212-3733
(772) 237-2428
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093988990
NPI
—
Enumeration date
04/17/2018
Last updated
06/16/2018
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