Organization
PRICILLA'S LOVING CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YAMARIS TATUM (PRESIDENT)
(772) 370-7251
Entity
Organization
Contact information
Practice address
213 SW LANGFIELD AVE, PORT ST LUCIE, FL 34984-4926
(772) 370-7251
(772) 879-6737
Mailing address
7273 NW 80TH CT, OKEECHOBEE, FL 34972-7802
(772) 370-7251
(772) 879-6737
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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