Individual provider · Type 1 NPI

Latoya D. Bradley

Assisted Living Facility · Port St. Lucie, FL

NPI number 1275359374 Active

Practice location

1381 SE Mohave Ct
Port St. Lucie, FL 34952-4118

Call (786) 799-0803 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X13973 (FL)

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.

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About NPI 1275359374

Latoya D. Bradley's National Provider Identifier is 1275359374, issued on Nov 23, 2024. 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 Sep 25, 2025.