Organization
CHRISTIAN LOVE AND TOUCH GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA S BROWN (OWNER)
(772) 206-5815
Entity
Organization
Contact information
Practice address
165 CAROL SUSAN LN, FORT PIERCE, FL 34982-8340
(772) 206-5815
Mailing address
165 CAROL SUSAN LN, FORT PIERCE, FL 34982-8340
(772) 206-5815
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/19/2015
Last updated
09/19/2015
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