Organization
DESTY NATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY DESTY RN (EXECUTIVE DIRECTOR)
(561) 983-1263
Entity
Organization
Contact information
Practice address
658 SW CABURN AVE, PORT ST LUCIE, FL 34953-7667
(561) 983-1263
Mailing address
658 SW CABURN AVE, PORT ST LUCIE, FL 34953-7667
(561) 983-1263
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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