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Mr. Clive Phillips
Adult Care Home Facility in Port St Lucie, Florida
NPI 1528616547

Clive Phillips is an Adult Care Home Facility based in Port St Lucie, FL and is specialized in Adult Care Home. Clive Phillips practices in Port St Lucie, FL. The NPI Number for Clive Phillips is 1528616547 and holds a License No. 6906987 (Florida).

The current practice location address for Clive Phillips is 6755 Nw Monoco Ct, Port St Lucie, FL and can be reached out via phone at 772-237-2496 and via fax at 772-237-2496.

Location: 6755 Nw Monoco Ct, Port St Lucie, FL, 34983-5339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528616547
Provider Name
Clive Phillips
Credential
Provider Entity Type
Individual
Gender
Male
Address
6755 Nw Monoco Ct, Port St Lucie, FL, 34983-5339
Phone Number
772-237-2496
Fax Number
772-237-2496
Provider Enumeration Date
09/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6755 Nw Monoco Ct
City
Port St Lucie
State
Florida
Zip
34983-5339
Phone Number
772-237-2496
Fax Number
772-237-2496
person
Provider Business Mailing Address Details
Address
6755 Nw Monoco Ct
City
Port St Lucie
State
Florida
Zip
34983-5339
Phone Number
772-237-2496
Fax Number
772-237-2496
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6906987 (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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