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Kettia Noel
Developmental Disabilities Clinic/Center in Port Saint Lucie, Florida
NPI 1891395430

Kettia Noel is a Developmental Disabilities Clinic/Center based in Port Saint Lucie, FL and is specialized in Developmental Disabilities. Kettia Noel practices in Port Saint Lucie, FL. The NPI Number for Kettia Noel is 1891395430 and holds a License No. (Florida).

The current practice location address for Kettia Noel is 1573 Se Clearbrook St, Port Saint Lucie, FL and can be reached out via phone at 561-503-3273.

Location: 1573 Se Clearbrook St, Port Saint Lucie, FL, 34983-4050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891395430
Provider Name
Kettia Noel
Credential
Provider Entity Type
Individual
Gender
Female
Address
1573 Se Clearbrook St, Port Saint Lucie, FL, 34983-4050
Phone Number
561-503-3273
Fax Number
Provider Enumeration Date
10/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1573 Se Clearbrook St
City
Port Saint Lucie
State
Florida
Zip
34983-4050
Phone Number
561-503-3273
Fax Number
person
Provider Business Mailing Address Details
Address
1573 Se Clearbrook St
City
Port Saint Lucie
State
Florida
Zip
34983-4050
Phone Number
561-503-3273
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
L20000294693 (Florida)
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.).
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
(Florida)
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
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