Organization
CONCIERGE COMMUNITY CARE LLC
Active
Organization
CONCIERGE COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAYSHA DUTES (CEO)
(754) 234-2836
Entity
Organization
Contact information
Practice address
8743 S FEDERAL HWY, PORT SAINT LUCIE, FL 34952-3310
(754) 234-2836
Mailing address
8743 S FEDERAL HWY, PORT SAINT LUCIE, FL 34952-3310
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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