Organization
SPRINGFIELD GARDENS ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GILLIAN A DYCE (OWNER/ADMINISTRATOR)
(772) 871-9039
Entity
Organization
Contact information
Practice address
588 SW RAY AVE, PORT ST LUCIE, FL 34983-2950
(772) 871-9039
Mailing address
588 SW RAY AVE, PORT ST LUCIE, FL 34983-2950
(772) 871-9039
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11322
FL
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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