Venus Home Healthcare
Clinic/Center, Developmental Disabilities in Port Saint Lucie, FL. Organization (NPI-2).
NPI number1023701331
StatusActive
Last updated in NPPESJun 27, 2023
Details
- NPI
- 1023701331
- Entity type
- Organization (NPI-2)
- Legal business name
- Venus Home Healthcare
- Organization subpart
- No
- Enumeration date
- Jun 1, 2023
- Certification date
- Jun 27, 2023
- Last updated
- Jun 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
| 261QH0100X | Clinic/Center, Health Services | – | – |
Practice location
4242 Sw Baltic StPort Saint Lucie, FL 34953-3141
Phone 561-507-7567
Mailing address
4242 Sw Baltic StPort Saint Lucie, FL 34953-3141
Authorized official
Anderson Mabout
Administrator
5615077567
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All 24 Developmental Disabilities Clinic/Center providers in Port Saint Lucie · All 2,132 providers in Port Saint Lucie
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