Whalio Doctors

NPI 1013934660

Corey Kare Home & Community Support Services, LLC

Organisation Developmentally Disabled Services Day Training Agency Port Saint Lucie, FL

Practice location

Address
5101 NW Newark Ln, Port Saint Lucie, FL 34983-5369
Phone
(772) 344-8482
Fax
(772) 344-8482

Authorised official

Name
Roderick Germaine Dixon
Title
Owner
Phone
(772) 216-8314

Registered specialties

Developmentally Disabled Services Day Training Agency Primary
Agencies Taxonomy 251C00000X Licence 229501 (FL)

Registry record

NPI
1013934660
Entity type
Organization
NPI issued
17 Jul 2006
Record last updated
10 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.