Individual provider · NPI-1

Monfort Alexandre, Care Taker

Day Training, Developmentally Disabled Services · Port St Lucie, FL

NPI number1013635259
StatusActive
Last updated in NPPESAug 15, 2022

Details

NPI
1013635259
Entity type
Individual (NPI-1)
Name
Mr. Monfort Alexandre
Credential
Care Taker
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 15, 2022
Certification date
Aug 15, 2022
Last updated
Aug 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled ServicesAL13125FLYes

Practice location

1762 Se Carvalho St
Port St Lucie, FL 34983-4554

Phone 772-577-3861 · Fax 772-577-3790

Mailing address

1762 Se Carvalho St
Port St Lucie, FL 34983-4554

Phone 772-577-3861 · Fax 772-577-3790

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