Front Porch Nurse Registry LLC
Registered Nurse, Home Health in Port St Lucie, FL. Organization (NPI-2).
NPI number1063019693
StatusActive
Last updated in NPPESOct 6, 2020
Details
- NPI
- 1063019693
- Entity type
- Organization (NPI-2)
- Legal business name
- Front Porch Nurse Registry LLC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2020
- Certification date
- Oct 6, 2020
- Last updated
- Oct 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | – | – | Yes |
| 251J00000X | Nursing Care | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 376J00000X | Homemaker | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
1680 Sw Bayshore Blvd Ste 112Port St Lucie, FL 34984-3518
Phone 954-655-9682
Mailing address
Po Box 882012Port St Lucie, FL 34988-2012
Authorized official
Darlene Dessources
Administrator
9545669682
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