Organization · Type 2 NPI

Country Living Assisted Care Center Inc

Assisted Living Facility · Port St. Lucie, FL

NPI number 1417135682 Active

Practice location

1762 SW Arch St
Port St. Lucie, FL 34953-1558

Call (772) 621-8211 Map

Fax (772) 621-8211

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL11331 (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 1417135682

Country Living Assisted Care Center Inc's National Provider Identifier is 1417135682, issued on Feb 9, 2008. 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 31, 2008.