Organization
OHANA ADULT FAMILY CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE ACEVEDO (ADMINISTRATOR)
(772) 626-1827
Entity
Organization
Contact information
Practice address
817 SW SAIL TER, PORT ST LUCIE, FL 34953-2632
(772) 873-9606
(772) 873-9606
Mailing address
817 SW SAIL TER, PORT ST LUCIE, FL 34953-2632
(772) 873-9606
(772) 873-9606
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10876
FL
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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