Organization
OCAMELOT DBA BROOKS MANOR ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SABITRI PERSAUD (ADMINISTRATOR)
(772) 878-2364
Entity
Organization
Contact information
Practice address
2043 SE WATERCREST ST, PORT ST LUCIE, FL 34984-4768
(772) 878-2364
(772) 873-0200
Mailing address
2043 SE WATERCREST ST, PORT ST LUCIE, FL 34984-4768
(772) 878-2364
(772) 873-0200
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11748
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002075100
—
FL
Enumeration date
09/11/2010
Last updated
09/11/2010
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