| Crosstown Family Care Home, Inc | |
|
1850 Sw Mackenzie St Port St Lucie FL 34953-1329 | |
| (954) 667-5616 | |
| (772) 333-2894 |
| Full Name | Crosstown Family Care Home, Inc |
|---|---|
| Speciality | Custodial Care Facility |
| Location | 1850 Sw Mackenzie St, Port St Lucie, Florida |
| Authorized Official Name and Position | Nellie Johnson (DIRECTOR) |
| Authorized Official Contact | 9546675616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crosstown Family Care Home, Inc 1850 Southwest Mackenzie Street Port St Lucie FL 34953-1329 Ph: (954) 667-5616 | Crosstown Family Care Home, Inc 1850 Sw Mackenzie St Port St Lucie FL 34953-1329 Ph: (954) 667-5616 |
| NPI Number | 1851848436 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851848436 | NPI | - | NPPES |
| 678513 | Medicaid | FL |
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