Organization
PARADISE GROUP HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELNA CEDENE JOSEPH N/S (CEO)
(561) 766-3673
Entity
Organization
Contact information
Practice address
1250 SW JANETTE AVE, PORT SAINT LUCIE, FL 34953
(561) 766-3673
Mailing address
1250 SW JANETTE AVE, PORT SAINT LUCIE, FL 34953
(561) 766-3673
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
08/16/2023
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