institution
Eben-ezer Group Home
Child Intellectual and/or Developmental Disabilities Respite Care in Port St Lucie, Florida
NPI 1588956320

Eben-ezer Group Home is a Child Intellectual and/or Developmental Disabilities Respite Care based in Port St Lucie, FL and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Eben-ezer Group Home practices in Port St Lucie, FL. The NPI Number for Eben-ezer Group Home is 1588956320 and holds a License No. 151427 (Florida).

The current practice location address for Eben-ezer Group Home is 1688 Sw Burlington St, Port St Lucie, FL and can be reached out via phone at 772-240-6636 and via fax at 772-249-7004.

Location: 1688 Sw Burlington St, Port St Lucie, FL, 34984-3559
institution
Provider Profile Details
NPI Number
1588956320
Provider Name
Eben-ezer Group Home
Credential
Provider Entity Type
Organization
Address
1688 Sw Burlington St, Port St Lucie, FL, 34984-3559
Phone Number
772-240-6636
Fax Number
772-249-7004
Provider Enumeration Date
05/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1688 Sw Burlington St
City
State
Zip
34984-3559
Phone Number
772-240-6636
Fax Number
772-249-7004
person
Provider Business Mailing Address Details
Address
1688 Sw Burlington St
City
State
Zip
34984-3559
Phone Number
772-240-6636
Fax Number
772-249-7004
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
License No.
151427 (Florida)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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