Organization
INTIMATE CARE ASSISTED LIVING EXPERIENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE HALSTEAD APRN (OWNER)
(914) 439-2205
Entity
Organization
Contact information
Practice address
5327 NW CONLEY DR, PORT SAINT LUCIE, FL 34986-4011
(914) 439-2205
(860) 799-6660
Mailing address
15 STEPHANIE DR, NEW MILFORD, CT 06776-2623
(914) 439-2205
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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