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Ms. Jenienne Elizabeth Gooden
Adult Care Home Facility in Port St. Lucie, Florida
NPI 1205578598

Jenienne Elizabeth Gooden is an Adult Care Home Facility based in Port St. Lucie, FL and is specialized in Adult Care Home. Jenienne Elizabeth Gooden practices in Port St. Lucie, FL. The NPI Number for Jenienne Elizabeth Gooden is 1205578598 and holds a License No. (Florida).

The current practice location address for Jenienne Elizabeth Gooden is 1674 South East Fallon Drive, Port St. Lucie, FL and can be reached out via phone at 772-834-5733.

Location: 1674 South East Fallon Drive, Port St. Lucie, FL, 34983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205578598
Provider Name
Jenienne Elizabeth Gooden
Credential
Provider Entity Type
Individual
Gender
Female
Address
1674 South East Fallon Drive, Port St. Lucie, FL, 34983
Phone Number
772-834-5733
Fax Number
Provider Enumeration Date
04/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1674 South East Fallon Drive
City
Port St. Lucie
State
Florida
Zip
34983
Phone Number
772-834-5733
Fax Number
person
Provider Business Mailing Address Details
Address
1674 South East Fallon Drive
City
Port St. Lucie
State
Florida
Zip
34983
Phone Number
772-834-5733
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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