Organization
MERCIFUL ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIM BRUCE M.S. (ADMINISTRATOR)
(248) 495-7064
Entity
Organization
Contact information
Practice address
4112 SW TUMBLE ST, PORT SAINT LUCIE, FL 34953-3145
(248) 495-7064
Mailing address
4112 SW TUMBLE ST, PORT SAINT LUCIE, FL 34953-3145
(248) 495-7064
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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