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1st Light Of Hope
Developmental Disabilities Clinic/Center in Port Saint Lucie, Florida
NPI 1497349625

1st Light Of Hope is a Developmental Disabilities Clinic/Center based in Port Saint Lucie, FL and is specialized in Developmental Disabilities. 1st Light Of Hope practices in Port Saint Lucie, FL. The NPI Number for 1st Light Of Hope is 1497349625 and holds a License No. (Florida).

The current practice location address for 1st Light Of Hope is 118 Sw Andover Ct, Port Saint Lucie, FL and can be reached out via phone at 772-214-5860 and via fax at 800-854-2598.

Location: 118 Sw Andover Ct, Port Saint Lucie, FL, 34953-7607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497349625
Provider Name
1st Light Of Hope
Credential
Provider Entity Type
Organization
Address
118 Sw Andover Ct, Port Saint Lucie, FL, 34953-7607
Phone Number
772-214-5860
Fax Number
800-854-2598
Provider Enumeration Date
02/28/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1262 05 FL
institution
Provider Business Practice Location Address Details
Address
118 Sw Andover Ct
City
Port Saint Lucie
State
Florida
Zip
34953-6961
Phone Number
772-214-5860
Fax Number
800-854-2598
person
Provider Business Mailing Address Details
Address
118 Sw Andover Ct
City
Port Saint Lucie
State
Florida
Zip
34953-6961
Phone Number
772-214-5860
Fax Number
800-854-2598
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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