NPI 1548979800
Prestige Group Home INC
Practice location
- Address
- 2278 SW Plymouth St, Port Saint Lucie, FL 34953-2379
- Phone
- (772) 879-4575
- Fax
- (772) 777-2088
Authorised official
- Name
- Tanya Georges
- Title
- Secretary/Director
- Phone
- (772) 349-8608
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1548979800
- Entity type
- Organization
- NPI issued
- 15 Nov 2022
- Record last updated
- 15 Nov 2022
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.