Port St Lucie Mgt LLC
Port St Lucie Mgt LLC is a Skilled Nursing Facility in Port Saint Lucie, Florida. Licensed in Florida. Registered with an NPI since 2005.
- Licensed in
- FL
- In the registry since
- 2005
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1655 SE Walton RdPort Saint Lucie, FL 34952-7657
Phone: (772) 337-1333
Fax: (772) 337-9856
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
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence SNF14940961 (FL) |
|---|
Record details
| NPI number | 1548244502 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lavern Herzog — President · (386) 668-9498 |
| Other names | Emerald Health Care Center; Emerald Health Care Center |
| NPI enumerated | December 2, 2005 |
| Last updated in NPPES | October 8, 2020 |
| Certification date | October 8, 2020 |
| Mailing address | 1655 Se Walton Rd, Port Saint Lucie, FL 34952-7657 |