Organization · Type 2 NPI

Jade Residence Group Home Inc

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Port St. Lucie, FL

NPI number 1477426161 Active

Practice location

6790 NW Monoco Ct
Port St. Lucie, FL 34983-5342

Call (772) 873-8866 Map

Fax (772) 873-8866

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1477426161

Jade Residence Group Home Inc's National Provider Identifier is 1477426161, issued on Sep 29, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Sep 29, 2025.