Organization
COTIN-VALCIN, CHARITE ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARITE VALCIN-COTIN (OWNER/ADMINISTRATOR)
(772) 985-4122
Entity
Organization
Contact information
Practice address
238 NW FERRIS DR, PORT ST LUCIE, FL 34983-1121
(772) 985-4122
(772) 777-3227
Mailing address
238 NW FERRIS DR, PORT ST LUCIE, FL 34983-1121
(772) 985-4122
(772) 777-3227
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906704
FL
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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