Mr. Clive Phillips
Mr. Clive Phillips is an Adult Care Home Facility in Port St Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2019
Practice location Address checks out
6755 NW Monoco CtPort St Lucie, FL 34983-5339
Phone: (772) 237-2496
Fax: (772) 237-2496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 6906987 (FL) |
|---|
Record details
| NPI number | 1528616547 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 3, 2019 |
| Last updated in NPPES | September 3, 2019 |
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