| Morning Glory House Of Love | |
|
120 Maple Ave Same Fort Pierce FL 34982-3431 | |
| (772) 672-1181 | |
| (772) 489-7825 |
| Full Name | Morning Glory House Of Love |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 120 Maple Ave, Fort Pierce, Florida |
| Authorized Official Name and Position | Myrtle Marina Peterson (DIRECTORR/OWNER) |
| Authorized Official Contact | 7726721181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morning Glory House Of Love 120 Maple Ave Same Fort Pierce FL 34982-3431 Ph: (772) 672-1181 | Morning Glory House Of Love 120 Maple Ave Same Fort Pierce FL 34982-3431 Ph: (772) 672-1181 |
| NPI Number | 1861732851 |
|---|---|
| Provider Enumeration Date | 02/27/2013 |
| Last Update Date | 02/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861732851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6905990 (Florida) | Primary |
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