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Edouard St Hilaire
Adult Care Home Facility in Port St Lucie, Florida
NPI 1750833968

Edouard St Hilaire is an Adult Care Home Facility based in Port St Lucie, FL and is specialized in Adult Care Home. Edouard St Hilaire practices in Port St Lucie, FL. The NPI Number for Edouard St Hilaire is 1750833968 and holds a License No. 6906864 (Florida).

The current practice location address for Edouard St Hilaire is 298 Sw Carter Ave, Port St Lucie, FL and can be reached out via phone at 772-301-1132.

Location: 298 Sw Carter Ave, Port St Lucie, FL, 34983-3064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750833968
Provider Name
Edouard St Hilaire
Credential
Provider Entity Type
Individual
Gender
Male
Address
298 Sw Carter Ave, Port St Lucie, FL, 34983-3064
Phone Number
772-301-1132
Fax Number
Provider Enumeration Date
11/04/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018422200 05 FL
institution
Provider Business Practice Location Address Details
Address
298 Sw Carter Ave
City
Port St Lucie
State
Florida
Zip
34983-3064
Phone Number
772-301-1132
Fax Number
person
Provider Business Mailing Address Details
Address
298 Sw Carter Ave
City
Port St Lucie
State
Florida
Zip
34983-3064
Phone Number
772-301-1132
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.
6906864 (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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