Organization
JOHANNA,S ASSISTED LIVING FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA GILCHRIST (ADMINISTRATOR)
(772) 519-2061
Entity
Organization
Contact information
Practice address
1958 SW DORADO LN, PORT ST LUCIE, FL 34953-1825
(772) 873-5602
Mailing address
1958 SW DORADO LN, PORT ST LUCIE, FL 34953-1825
(772) 873-5602
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11332
FL
Other
Enumeration date
11/18/2009
Last updated
12/03/2009
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