HEAVENLY ADULT CARE LLC

PORT ST LUCIE, FL
NPI1659857001
Entity TypeOrganization
Authorized ContactSONIA REID
Administrator
772-626-9539
Organization Subpart ?No
Primary Taxonomy310400000X Assisted Living Facility
(Licence: FL  13020)
Enumeration Date2018-07-18
Last Update Date2018-07-18
Business Address
HEAVENLY ADULT CARE LLC
3934 SW KAKOPO ST
PORT ST LUCIE, FL 34953-3631
Phone number: 772-626-9539
Mailing Address
HEAVENLY ADULT CARE LLC
3934 SW KAKOPO ST
PORT ST LUCIE, FL 34953-3631
Phone number: 772-626-9539