Organization
DREAM HAVEN GROUPHOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHNY JULES (OWNER)
(954) 548-7602
Entity
Organization
Contact information
Practice address
419 SE FALLON DR, PORT ST LUCIE, FL 34983-2634
(954) 548-7602
Mailing address
419 SE FALLON DR, PORT ST LUCIE, FL 34983-2634
(954) 548-7602
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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