Organization
ANGELS WINGS SYNERGY RETREAT
Active
Other names
angels wings synergy retreat
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE MICHELLE GORDON (OWNER ADMINISTRATOR)
(559) 467-8888
Entity
Organization
Contact information
Practice address
1920 N 44TH ST, FORT PIERCE, FL 34947-1607
(559) 467-8888
Mailing address
1920 N 44TH ST, FORT PIERCE, FL 34947-1607
(559) 467-8888
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
FL
311Z00000X
Custodial Care Facility
Primary
—
FL
315D00000X
Inpatient Hospice
—
FL
385H00000X
Respite Care
—
FL
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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