Individual
WALNER CIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1931 SW MCALLISTER LN, PORT ST LUCIE, FL 34953-2064
(561) 502-2744
Mailing address
970 SE BAYFRONT AVE, PORT ST LUCIE, FL 34983-3912
(561) 502-2744
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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