Organization
NATIVITY GROUP HOME. INC.
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE NINON PIERRE GROUP HOME (OWNER/DIRECTOR)
(772) 468-7530
Entity
Organization
Contact information
Practice address
2106 S 26TH ST, FORT PIERCE, FL 34947-4792
(772) 468-7530
(772) 468-7530
Mailing address
2106 S 26TH ST, FORT PIERCE, FL 34947-4792
(772) 468-7530
(772) 468-7530
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
151079
FL
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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