Whalio Doctors

NPI 1548979800

Prestige Group Home INC

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

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
Agencies Taxonomy 251C00000X

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.