Organization
PALM GARDEN OF PORT ST LUCIE LLC
Active
Other names
Palm Garden of Port St Lucie
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS H. MILLER (AUTHORIZED REPRESENTATIVE)
(941) 952-9411
Entity
Organization
Contact information
Practice address
1751 SE HILLMOOR DR, PORT ST LUCIE, FL 34952-7535
(772) 335-8844
(772) 335-9954
Mailing address
2033 MAIN ST, SUITE 302, SARASOTA, FL 34237-6056
(941) 952-9411
(941) 952-9331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1419096
FL
Other
Enumeration date
09/10/2013
Last updated
12/04/2013
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