Organization
NEW ELITE GROUP HOME
Active
Organization
NEW ELITE GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIDE ETIENNE (OWNER)
(772) 240-8307
Entity
Organization
Contact information
Practice address
1241 SE NAVAJO LN, PORT ST LUCIE, FL 34983-3100
(772) 240-8307
(772) 905-8711
Mailing address
1241 SE NAVAJO LN, PORT ST LUCIE, FL 34983-3100
(772) 240-8307
(772) 905-8711
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/15/2022
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