Whalio Doctors

NPI 1023301439

Bonnie's Group Hpme

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Port Saint Lucie, FL

Practice location

Address
651 SW Addie St, Port Saint Lucie, FL 34983-1841
Phone
(772) 940-4561
Fax
(772) 878-3815

Authorised official

Name
Marie Febonie Joseph
Title
Owner/ Administrator
Phone
(772) 940-4561

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary
Respite Care Facility Taxonomy 385HR2060X Licence 15-1461 (FL)

Registry record

NPI
1023301439
Entity type
Organization
NPI issued
17 May 2011
Record last updated
17 May 2011

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.