Organization
VALLEY STREAM GARDENS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL MORGAN (OWNER)
(772) 834-1454
Entity
Organization
Contact information
Practice address
482 SW TODD AVE, PORT ST LUCIE, FL 34983-2914
(772) 834-1454
Mailing address
482 SW TODD AVE, PORT ST LUCIE, FL 34983-2914
(772) 834-1454
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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