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Heavenly Adult Care Llc
Assisted Living Facility in Port St Lucie, Florida
NPI 1659857001

Heavenly Adult Care Llc is an Assisted Living Facility based in Port St Lucie, FL. Heavenly Adult Care Llc practices in Port St Lucie, FL. The NPI Number for Heavenly Adult Care Llc is 1659857001 and holds a License No. 13020 (Florida).

The current practice location address for Heavenly Adult Care Llc is 3934 Sw Kakopo St, Port St Lucie, FL and can be reached out via phone at 772-626-9539.

Location: 3934 Sw Kakopo St, Port St Lucie, FL, 34953-3631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659857001
Provider Name
Heavenly Adult Care Llc
Credential
Provider Entity Type
Organization
Address
3934 Sw Kakopo St, Port St Lucie, FL, 34953-3631
Phone Number
772-626-9539
Fax Number
Provider Enumeration Date
07/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3934 Sw Kakopo St
City
Port St Lucie
State
Florida
Zip
34953-3631
Phone Number
772-626-9539
Fax Number
person
Provider Business Mailing Address Details
Address
3934 Sw Kakopo St
City
Port St Lucie
State
Florida
Zip
34953-3631
Phone Number
772-626-9539
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
13020 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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