CLIVE PHILLIPS

PORT ST LUCIE, FL
NPI1528616547
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL  6906987)
Enumeration Date2019-09-03
Last Update Date2019-09-03
Business Address
Mr. CLIVE PHILLIPS
6755 NW MONOCO CT
PORT ST LUCIE, FL 34983-5339
Phone number: 772-237-2496
Mailing Address
Mr. CLIVE PHILLIPS
6755 NW MONOCO CT
PORT ST LUCIE, FL 34983-5339
Phone number: 772-237-2496