Organization
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Active
Parent organization
FLORIDA DEPARTMENT OF VETERANS' AFFAIRS
Other names
Ardie R. Copas State Veterans Nursing Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA DEPARTMENT OF VETERANS' AFFAIRS
Authorized official
CONNIE SUE TOLLEY (DIRECTOR FDVA HOMES)
(727) 518-3203
Entity
Organization
Contact information
Practice address
13000 SW TRADITION PKWY, PORT ST LUCIE, FL 34987-2885
(772) 241-6132
Mailing address
13000 SW TRADITION PKWY, PORT ST LUCIE, FL 34987-2885
(772) 241-6132
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
12/06/2023
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