Organization
SALIEN ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN MARIE SALIEN (PROVIDER)
(772) 919-5121
Entity
Organization
Contact information
Practice address
6817 NW GRANGER AVE, PORT ST LUCIE, FL 34983-1306
(772) 919-5121
Mailing address
6817 NW GRANGER AVE, PORT ST LUCIE, FL 34983-1306
(772) 919-5121
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6906759
FL
Other
Enumeration date
10/06/2015
Last updated
11/23/2015
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