Fabulous Resort Assisted Living Facilitator LLC
NPI #1083113070 in Port Saint Lucie, Florida
Provider Information
- NPI Number
- 1083113070
- Entity Type
- Organization
- Organization Name
- Fabulous Resort Assisted Living Facilitator LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 6, 2018
- Last Updated
- Feb 6, 2018
Practice Location
- Address
- 1762 SE CARVALHO ST
- City
- Port Saint Lucie
- State
- Florida
- ZIP Code
- 34983-4554
- Phone
- (561) 541-2089
Authorized Official
- Name
- FABIOLA ALEXANDRE
- Title
- ADMINISTRATOR
- Phone
- (561) 541-2089
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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