Vitality Star Resort Alf Llc

LBN: Vitality Star Resort Alf Llc
Vitality Star Resort Alf Llc is an health care organization with primary practice located at 591 Sw Bradshaw Cir , Port St Lucie FL 34953-5539. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Vitality Star Resort Alf Llc can be contacted via phone (772) 207-7947, or through Dorval, Christella via phone (772) 207-7947.

Contact Information

Primary practice address
591 Sw Bradshaw Cir Port St Lucie FL 34953-5539
Phone: (772) 207-7947
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dorval, Christella
Phone: (772) 207-7947

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X

Profile Details

NPI number 1760958847
LBN Legal business name Vitality Star Resort Alf Llc
DBA Doing business as
Authorized official Dorval, Christella
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2018
Last updated Oct 16th, 2018 - about 7 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 1760958847 NPPES
Florida MEDICAID 023404800

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