Organization
THE COLONNADES GROUP HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE M STROTHER LPN (ADMINISTRATOR)
(561) 541-1604
Entity
Organization
Contact information
Practice address
1962 SW MCALLISTER LN, PORT ST LUCIE, FL 34953-2063
(561) 541-1604
(772) 204-2341
Mailing address
1962 SW MCALLISTER LN, PORT ST LUCIE, FL 34953-2063
(561) 541-1604
(772) 204-2341
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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