Organization
WILNIQUE PEACEFUL ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILNIQUE TURENNE (ADMINISTRATOR)
(954) 934-5852
Entity
Organization
Contact information
Practice address
4435 SW MASEFIELD ST, PORT ST LUCIE, FL 34953-6867
(954) 934-5852
Mailing address
4435 SW MASEFIELD ST, PORT ST LUCIE, FL 34953-6867
(954) 934-5852
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906735
FL
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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