Organization · Type 2 NPI
Magnolia Home Inc
Developmental Disabilities Clinic/Center · Port St. Lucie, FL
Practice location
918 SW Idol Ave
Port St. Lucie, FL 34953-6728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | None listed |
Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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About NPI 1225528094
Magnolia Home Inc's National Provider Identifier is 1225528094, issued on May 16, 2018. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Port St. Lucie, FL. The record was last updated on May 16, 2018.