NPI 1932609435

Marlee's Group Home LLC

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

Practice location

Address: 3861 SW Rosser Blvd, Port Saint Lucie, FL 34953-7084
Phone: (954) 600-9295

Authorised official

Name: Yvena Vixamar
Title: Owner/ Manager
Phone: (954) 600-9295

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1932609435
Entity type: Organization
NPI issued: 20 Feb 2018
Record last updated: 20 Feb 2018

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.