Organization · Type 2 NPI

Wickshire Port St. Lucie

Assisted Living Facility · Port St. Lucie, FL

NPI number 1184222002 Active

Practice location

9825 S US Highway 1
Port St. Lucie, FL 34952-5626

Call (772) 337-0084 Map

Mailing address

750 Old Hickory Blvd
Brentwood, TN 37027-4528

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed
Alzheimer Center (Dementia Center) 311500000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3 other providers at this address

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About NPI 1184222002

Wickshire Port St. Lucie's National Provider Identifier is 1184222002, issued on Oct 13, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Oct 13, 2020.