Jade Residence Group Home Inc
Jade Residence Group Home Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Port Saint Lucie, Florida. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6790 NW Monoco CtPort Saint Lucie, FL 34983-5342
Phone: (772) 873-8866
Fax: (772) 873-8866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1477426161 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mable Wallace — Director · (772) 873-8866 |
| NPI enumerated | September 29, 2025 |
| Last updated in NPPES | September 29, 2025 |
| Certification date | September 28, 2025 |
| Mailing address | 6790 Nw Monoco Ct, Port Saint Lucie, FL 34983-5342 |
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