Organization
QUALITY CARE ASSISTED LIVING OF THE TREASURE COAST INC.
Active
Other names
Quality Care 2
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE MARIE DERIENZO CAREGIVER (PRESIDENT)
(772) 879-2501
Entity
Organization
Contact information
Practice address
432 SW PRADO AVE, PORT ST LUCIE, FL 34983-8750
(772) 879-2501
(772) 879-0136
Mailing address
432 SW PRADO AVE, PORT ST LUCIE, FL 34983-8750
(772) 879-2501
(772) 879-0136
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9258
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142093300
—
FL
05
—
678899896
—
FL
05
—
678899898
—
FL
Enumeration date
05/16/2007
Last updated
11/05/2013
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