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Maryse Deslouches
Adult Care Home Facility in Port St Lucie, Florida
NPI 1417696618

Maryse Deslouches is an Adult Care Home Facility based in Port St Lucie, FL and is specialized in Adult Care Home. Maryse Deslouches practices in Port St Lucie, FL. The NPI Number for Maryse Deslouches is 1417696618 and holds a License No. 6907068 (Florida).

The current practice location address for Maryse Deslouches is 150 Sw Port St Lucie Blvd, Port St Lucie, FL and can be reached out via phone at 305-956-9030.

Location: 150 Sw Port St Lucie Blvd, Port St Lucie, FL, 34984-5041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417696618
Provider Name
Maryse Deslouches
Credential
Provider Entity Type
Individual
Gender
Female
Address
150 Sw Port St Lucie Blvd, Port St Lucie, FL, 34984-5041
Phone Number
305-956-9030
Fax Number
Provider Enumeration Date
06/03/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
113078100 05 FL
institution
Provider Business Practice Location Address Details
Address
150 Sw Port St Lucie Blvd
City
Port St Lucie
State
Florida
Zip
34984-5041
Phone Number
305-956-9030
Fax Number
person
Provider Business Mailing Address Details
Address
150 Sw Port St Lucie Blvd
City
Port St Lucie
State
Florida
Zip
34984-5041
Phone Number
305-956-9030
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.
6907068 (Florida)
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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