Organization
S-H THIRTY-FIVE OPCO - PORT ST. LUCIE, LLC
Active
Other names
Atria Port Orange
Organization subpart
No
Provider details
NPI number
Authorized official
W. BRYAN HUDSON (S-H THIRTY-FIVE OPCO, LLC BY: ATRIA)
(502) 779-4700
Entity
Organization
Contact information
Practice address
9825 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-5626
(772) 337-0084
Mailing address
300 E MARKET ST STE 100, LOUISVILLE, KY 40202-1968
(502) 779-7663
(502) 779-4749
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/22/2013
Last updated
08/05/2019
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