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Nelisha Family Home Llc
Assisted Living Facility in Port St Lucie, Florida
NPI 1134563562

Nelisha Family Home Llc is an Assisted Living Facility based in Port St Lucie, FL. Nelisha Family Home Llc practices in Port St Lucie, FL. The NPI Number for Nelisha Family Home Llc is 1134563562 and holds a License No. 12437 (Florida).

The current practice location address for Nelisha Family Home Llc is 3871 Sw Ramspeck St, Port St Lucie, FL and can be reached out via phone at 772-340-4671 and via fax at 772-264-0592.

Location: 3871 Sw Ramspeck St, Port St Lucie, FL, 34953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134563562
Provider Name
Nelisha Family Home Llc
Credential
Provider Entity Type
Organization
Address
3871 Sw Ramspeck St, Port St Lucie, FL, 34953
Phone Number
772-340-4671
Fax Number
772-264-0592
Provider Enumeration Date
04/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FL024319000 05 FL
institution
Provider Business Practice Location Address Details
Address
3871 Sw Ramspeck St
City
Port St Lucie
State
Florida
Zip
34953
Phone Number
772-340-4671
Fax Number
772-264-0592
person
Provider Business Mailing Address Details
Address
3871 Sw Ramspeck St
City
Port St Lucie
State
Florida
Zip
34953
Phone Number
772-340-4671
Fax Number
772-264-0592
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
12437 (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.
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