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The Cornerstones Of Port St. Lucie, Inc.
Assisted Living Facility (Mental Illness) in Port Saint Lucie, Florida
NPI 1114355278

The Cornerstones Of Port St. Lucie, Inc. is an Assisted Living Facility (Mental Illness) based in Port Saint Lucie, FL and is specialized in Assisted Living, Mental Illness. The Cornerstones Of Port St. Lucie, Inc. practices in Port Saint Lucie, FL. The NPI Number for The Cornerstones Of Port St. Lucie, Inc. is 1114355278 and holds a License No. 11602 (Florida).

The current practice location address for The Cornerstones Of Port St. Lucie, Inc. is 1102 Sw Ivanhoe St, Port Saint Lucie, FL and can be reached out via phone at 772-879-4950 and via fax at 772-807-7544.

Location: 1102 Sw Ivanhoe St, Port Saint Lucie, FL, 34983-2542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114355278
Provider Name
The Cornerstones Of Port St. Lucie, Inc.
Credential
Provider Entity Type
Organization
Address
1102 Sw Ivanhoe St, Port Saint Lucie, FL, 34983-2542
Phone Number
772-879-4950
Fax Number
772-807-7544
Provider Enumeration Date
10/28/2013
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
140258700 05 FL
11967589 01 FL AHCA NUMBER (FILE NUMBER)
11602 01 FL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1102 Sw Ivanhoe St
City
Port Saint Lucie
State
Florida
Zip
34983-2542
Phone Number
772-879-4950
Fax Number
772-807-7544
person
Provider Business Mailing Address Details
Address
1102 Sw Ivanhoe St
City
Port Saint Lucie
State
Florida
Zip
34983-2542
Phone Number
772-879-4950
Fax Number
772-807-7544
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
11602 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
11602 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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