Concierge Community Care LLC
Clinic/Center, Developmental Disabilities in Port Saint Lucie, FL. Organization (NPI-2).
NPI number1982201893
StatusActive
Last updated in NPPESOct 4, 2020
Details
- NPI
- 1982201893
- Entity type
- Organization (NPI-2)
- Legal business name
- Concierge Community Care LLC
- Organization subpart
- No
- Enumeration date
- Oct 4, 2020
- Certification date
- Oct 4, 2020
- Last updated
- Oct 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
Practice location
8743 S Federal HwyPort Saint Lucie, FL 34952-3310
Phone 754-234-2836
Mailing address
8743 S Federal HwyPort Saint Lucie, FL 34952-3310
Authorized official
Thaysha Dutes
Ceo
7542342836
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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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