Individual provider · Type 1 NPI

Zulia Brenovil, GROUP HOME

Assisted Living Facility · Port St. Lucie, FL

NPI number 1881152882 Active

Practice location

578 SW Violet Ave
Port St. Lucie, FL 34983-8739

Call (772) 621-0622 Map

Mailing address

10497 SW Tibre Ct
Port St. Lucie, FL 34987-2347

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

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 1881152882

Zulia Brenovil, GROUP HOME's National Provider Identifier is 1881152882, issued on Mar 8, 2019. 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 Mar 8, 2019.