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Organization

SENIOR PARADISE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARON LINDO CNA (ADMINISTRATOR)
(772) 722-4077
Entity
Organization

Contact information

Practice address
3650 SW VICEROY ST, PORT ST LUCIE, FL 34953-3733
(772) 722-0477
Mailing address
3650 SW VICEROY ST, PORT ST LUCIE, FL 34953-3733
(772) 722-0477

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Enumeration date
12/26/2023
Last updated
12/26/2023
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