Organization
ROSEWOOD GARDEN OF PORT ST.LUCIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AGNES JOAN LESLIE (OWNER)
(772) 224-9746
Entity
Organization
Contact information
Practice address
643 NE LAGOON LN, PORT ST LUCIE, FL 34983-1226
(772) 344-5974
(772) 879-7587
Mailing address
643 NE LAGOON LN, PORT ST LUCIE, FL 34983-1226
(772) 344-5974
(772) 879-7587
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9627
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685393500
—
FL
Enumeration date
07/26/2013
Last updated
07/26/2013
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