NPI 1750168977

Grace Senior Living, LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Port St Lucie, FL

Practice location

Address: 2317 SW Webster Ln, Port St Lucie, FL 34953-5752
Phone: (772) 812-8749
Fax: (772) 255-2780

Authorised official

Name: Leona C James
Title: Administrator
Phone: (772) 812-8749

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1750168977
Entity type: Organization
NPI issued: 11 Sep 2023
Record last updated: 14 Sep 2023

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.