Organization
FABULOUS RESORT ASSISTED LIVING FACILITATOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONFORT ALEXANDRE (CEO)
(772) 577-3861
Entity
Organization
Contact information
Practice address
1762 SE CARVALHO ST, PORT ST LUCIE, FL 34983-4554
(772) 577-3861
(772) 577-3790
Mailing address
1762 SE CARVALHO ST, PORT ST LUCIE, FL 34983-4554
(772) 577-3790
(772) 577-3861
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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