Individual provider · Type 1 NPI

Christella Dorval

Adult Care Home Facility · Port St. Lucie, FL

NPI number 1770988180 Active

Practice location

1258 SW Ermine Ave
Port St. Lucie, FL 34953-5006

Call (772) 207-7947 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X6906705 (FL)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1770988180

Christella Dorval's National Provider Identifier is 1770988180, issued on Oct 28, 2014. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Port St. Lucie, FL. The record was last updated on Oct 28, 2014.