Laurent Group Home INC
Clinic/Center, Developmental Disabilities in Port Saint Lucie, FL. Organization (NPI-2).
NPI number1992399786
StatusActive
Last updated in NPPESFeb 23, 2021
Details
- NPI
- 1992399786
- Entity type
- Organization (NPI-2)
- Legal business name
- Laurent Group Home INC
- Organization subpart
- No
- Enumeration date
- Feb 23, 2021
- Certification date
- Feb 23, 2021
- Last updated
- Feb 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
Other names
- Abundance'S Popo Residence LLC (Former Legal Business Name)
Practice location
261 Sw Fairchild AvePort Saint Lucie, FL 34984-4908
Phone 954-213-7914
Mailing address
261 Sw Fairchild AvePort Saint Lucie, FL 34984-4908
Phone 954-213-7914
Authorized official
Margarette Jean Laurent
Ceo
9542137914
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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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