Organization
STARLINE GROUP HOME
Active
Other names
Starline Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES JOAN LESLIE (DIRECTOR)
(772) 224-9746
Entity
Organization
Contact information
Practice address
820 SW DEL RIO BLVD FL 34953, PORT ST LUCIE, FL 34953-1979
(177) 222-4974
Mailing address
820 SW DEL RIO BLVD FL 34953, PORT ST LUCIE, FL 34953-1979
(177) 222-4974
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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