Organization
SOARING EAGLE INVESTMENT/ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN K LAWRENCE (OWNER/ADMINISTRATOR)
(772) 249-4745
Entity
Organization
Contact information
Practice address
1568 SW CALIFORNIA BLVD., PORT ST. LUCIE, FL 34953
(772) 249-4745
(772) 607-5157
Mailing address
1568 SW CALIFORNIA BLVD., PORT ST. LUCIE, FL 34953
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12052
FL
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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