Organization
MORNING GLORY HOUSE OF LOVE
Active
Other names
Morning Glory House Of Love
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRTLE MARINA PETERSON MASTERS (DIRECTORR/OWNER)
(772) 672-1181
Entity
Organization
Contact information
Practice address
120 MAPLE AVE, SAME, FORT PIERCE, FL 34982-3431
(772) 672-1181
(772) 489-7825
Mailing address
120 MAPLE AVE, SAME, FORT PIERCE, FL 34982-3431
(772) 672-1181
(772) 489-7825
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6905990
FL
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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