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Organization

CULTIVATING COMFORT RESIDENCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE ETIENVIL (OWNER)
(561) 674-3381
Entity
Organization

Contact information

Practice address
102 SE WHITMORE DR, PORT ST LUCIE, FL 34984-3706
(561) 674-3381
Mailing address
102 SE WHITMORE DR, PORT SAINT LUCIE, FL 34984-3706

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
05/08/2025
Last updated
05/14/2025
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