Deslouches, Maryse
Deslouches, Maryse is an sole proprietor health care provider with primary practice located at 150 Sw Port St Lucie Blvd , Port St Lucie FL 34984-5041. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Deslouches, Maryse can be contacted via phone (305) 956-9030.Contact Information
Primary practice address
150 Sw Port St Lucie Blvd
Port St Lucie FL 34984-5041
Phone: (305) 956-9030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | 6907068 | Florida |
Profile Details
| NPI number | 1417696618 |
|---|---|
| LBN Legal business name | Deslouches, Maryse |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2022 |
| Last updated | Jun 3rd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417696618 | NPPES |
| Florida | MEDICAID | 113078100 |
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