| Salus Enterprise Llc | |
|
457 Sw Bridgeport Drive Port Saint Lucie FL 34953 | |
| (772) 370-8107 | |
| (772) 237-6051 |
| Full Name | Salus Enterprise Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 457 Sw Bridgeport Drive, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Damiana Lombardo-aikens (AMBR) |
| Authorized Official Contact | 7723708107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salus Enterprise Llc 457 Sw Bridgeport Drive Port Saint Lucie FL 34953 Ph: (772) 370-8107 | Salus Enterprise Llc 457 Sw Bridgeport Drive Port Saint Lucie FL 34953 Ph: (772) 370-8107 |
| NPI Number | 1649674011 |
|---|---|
| Provider Enumeration Date | 10/14/2014 |
| Last Update Date | 10/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649674011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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