Toni Mary Home Alf Corp

NPI 1205233434 - Assisted Living Facility - 310400000X

NPI Details
NPI 1205233434
Enumeration Date 12/03/2014
Last Updated 12/03/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name RAQUEL RAQUEL
Position ADMINISTRATOR
Phone (772) 236-8024
Fax (772) 236-8024
Practice Location
6107 NW GAUSE AVE
PORT ST LUCIE FL, 34986-3830, US
Phone (772) 236-8024
Fax (772) 236-8024
Business Location
6107 NW GAUSE AVE
PORT ST LUCIE FL, 34986-3830, US
Phone (772) 236-8024
Fax (772) 236-8024
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number 12569
Remove 1205233434 NPI Number
 

According to our database, Toni Mary Home Alf Corp NPI is 1205233434, taxonomy code is 310400000X and license number is 12569, license state is located at Florida. Toni Mary Home Alf Corp physically located at 6107 Nw Gause Ave, Port St Lucie FL, 34986-3830. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1205233434 NPI number is provided on an as is basis without warranty of any kind. 1205233434 is maintained by the National Plan & Provider Enumeration System. The contents of Toni Mary Home Alf Corp are for informational purposes only.