Organization
ALWAYS RELIABLE MED WAIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA ST. HILAIRE (OWNER)
(772) 626-6139
Entity
Organization
Contact information
Practice address
1258 SW EMPIRE ST., PORT ST. LUCIE, FL 34983
(772) 626-6139
(772) 905-8746
Mailing address
1258 SW EMPIRE ST., PORT ST. LUCIE, FL 34983
(772) 905-8745
(772) 905-8746
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690231696
—
FL
05
—
690231698
—
FL
Enumeration date
12/30/2008
Last updated
12/30/2008
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