Organization
RITELIFE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA SUE MOODY HOLBROOK (PRESIDENT)
(561) 503-1323
Entity
Organization
Contact information
Practice address
705 KITTERMAN RD, PORT ST LUCIE, FL 34952-9018
(561) 503-1323
Mailing address
5029 SE EBBTIDE AVE, STUART, FL 34997-3164
(561) 503-1323
(772) 320-9966
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
705
ADDRESS
FL
Enumeration date
06/28/2021
Last updated
06/28/2021
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