None

LBN: Eben-Ezer Group Home
None is an health care organization with primary practice located at 1688 Sw Burlington St , Port St Lucie FL 34984-3559. The organization recently has only one registered license in Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Eben-Ezer Group Home can be contacted via phone (772) 240-6636, or through Charles, Eveline via phone (772) 240-6636.

Contact Information

Primary practice address
1688 Sw Burlington St Port St Lucie FL 34984-3559
Phone: (772) 240-6636
Fax: (772) 249-7004
Website:
Map and Directions
Authorized official contact:
Name: Charles, Eveline NURSING ASSISTANCE
Phone: (772) 240-6636

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X 151427 Florida

Profile Details

NPI number 1588956320
LBN Legal business name Eben-Ezer Group Home
DBA Doing business as None
Authorized official Charles, Eveline NURSING ASSISTANCE
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2011
Last updated May 12th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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