Healthcare Provider Details

I. General information

NPI: 1629416714
Provider Name (Legal Business Name): FRANCOISE ANTONE DBA JUST LIKE HOME ADULT CARE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 06/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1342 SW DEL RIO BLVD
PORT SAINT LUCIE FL
34953-1439
US

IV. Provider business mailing address

1342 SW DEL RIO BLVD
PORT SAINT LUCIE FL
34953-1439
US

V. Phone/Fax

Practice location:
  • Phone: 772-873-3272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number6906081
License Number StateFL

VIII. Authorized Official

Name: FRANCOISE ANTOINE
Title or Position: OWNER
Credential:
Phone: 772-873-3272