Country Living Assisted Care Center Inc in Port Saint Lucie - Assisted Living Facility
Country Living Assisted Care Center Inc - NPI 1417135682
Country Living Assisted Care Center Inc is a Assisted Living Facility in Port Saint Lucie, Florida. Country Living Assisted Care Center Inc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Country Living Assisted Care Center Inc is 1417135682. The last update date is 2008-10-31.
Country Living Assisted Care Center Inc's current location address is 1762 Sw Arch St, Port Saint Lucie, Florida. You can contact this provider via phone number 7726218211 and fax number 7726218211. The mailing address for Country Living Assisted Care Center Inc is 1762 Sw Arch St, Port Saint Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Country Living Assisted Care Center Inc |
|---|---|
| Address | 1762 Sw Arch St, Port Saint Lucie, Florida |
| Phone Number | 7726218211 |
| Fax Number | 7726218211 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADM |
|---|---|
| Authorized Official Name | Cammarsana Ann Carol |
| Telephone Number | 7726261150 |
NPI Number Detail
| NPI Number | 1417135682 |
|---|---|
| Provider Enumeration Date | 2008-02-09 |
| Last Updated Date | 2008-10-31 |
Provider Mailing Address Detail
| Address | 1762 Sw Arch St |
|---|---|
| City | Port Saint Lucie |
| State | Florida (FL) |
| Post Code | 349531558 |
| Phone Number | 7726218211 |
| Fax Number | 7726218211 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | AL11331 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 692697596 | FL | MEDWAIVER |
Post Comment/ Review Below
What is the unique identification code assigned to Country Living Assisted Care Center Inc by the Centers for Medicare & Medicaid Services?
The Country Living Assisted Care Center Inc has been issued the NPI (National Provider Identifier) 1417135682. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Country Living Assisted Care Center Inc is located?
The Country Living Assisted Care Center Inc is situated at the following address: 1762 Sw Arch St, Port Saint Lucie, FL, 349531558.
What is Country Living Assisted Care Center Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Country Living Assisted Care Center Inc's specialized field of practice is Assisted Living Facility, and the corresponding taxonomy code that categorizes this area of specialization is 310400000X.
When did Country Living Assisted Care Center Inc receive its 1417135682 assignment?
The Country Living Assisted Care Center Inc was assigned its 1417135682 on 2008-02-09, which is the date when this unique identifier was issued to the organization.
When was the information related to Country Living Assisted Care Center Inc most recently updated or refreshed?
The details pertaining to the Country Living Assisted Care Center Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-10-31.