Eben-Ezer Group Home
Eben-Ezer Group Home is a Child Intellectual and/or Developmental Disabilities Respite Care in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
Practice location Address checks out
1688 SW Burlington StPort St Lucie, FL 34984-3559
Phone: (772) 240-6636
Fax: (772) 249-7004
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child Intellectual and/or Developmental Disabilities Respite Care (primary) | Taxonomy 385HR2060X · Licence 151427 (FL) |
|---|
Record details
| NPI number | 1588956320 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eveline Charles — Administrator/Owner · (772) 240-6636 |
| Other names | None |
| NPI enumerated | May 12, 2011 |
| Last updated in NPPES | May 12, 2011 |
| Mailing address | 1688 Sw Burlington St, Port St Lucie, FL 34984-3559 |
Other providers in Port St Lucie
-
Iliana Stenie Gonzalez
508 SE Whitmore Dr, Port St Lucie, FL 34984-4560 · (772) 785-7110