Organization
LIVE LOVE LAUGH ASSISSTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIGANA GEORGE ECCLESTON (OWNER)
(954) 729-0166
Entity
Organization
Contact information
Practice address
1766 SW COLUMBIA ST, PORT SAINT LUCIE, FL 34987-2073
(954) 729-0166
Mailing address
1766 SW COLUMBIA ST, PORT SAINT LUCIE, FL 34987-2073
(954) 729-0166
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL13071
FL
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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