Country Living Assisted Care Center Inc

LBN: Country Living Assisted Care Center Inc
Country Living Assisted Care Center Inc is an health care organization with primary practice located at 1762 Sw Arch St , Port Saint Lucie FL 34953-1558. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Country Living Assisted Care Center Inc can be contacted via phone (772) 621-8211, or through Cammarsana, Carol Ann via phone (772) 626-1150.

Contact Information

Primary practice address
1762 Sw Arch St Port Saint Lucie FL 34953-1558
Phone: (772) 621-8211
Fax: (772) 621-8211
Website:
Map and Directions
Authorized official contact:
Name: Cammarsana, Carol Ann
Phone: (772) 626-1150

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL11331 Florida

Profile Details

NPI number 1417135682
LBN Legal business name Country Living Assisted Care Center Inc
DBA Doing business as
Authorized official Cammarsana, Carol Ann
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2008
Last updated Oct 31st, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417135682 NPPES
Florida Other 692697596 MEDWAIVER

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