Organization
K AND L LOVING CARE OF PORT SAINT LUCIE ASSISTED LIVING FACILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOTOYA HIBBERT PHARMD (ADMINISTRATOR)
(561) 628-8075
Entity
Organization
Contact information
Practice address
3871 SW RAMSPECK ST, PORT SAINT LUCIE, FL 34953-5381
(561) 628-8075
Mailing address
3825 ASPEN LEAF DR, BOYNTON BEACH, FL 33436-1713
(561) 628-8075
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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