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General NPI Number Information
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NPI Number | 1417163403
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Entity Type | Organization
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Legal Business Name | HH STUART LLC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1850 SW FOUNTAINVIEW BLVD STE 102
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-3420
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Country | US
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Telephone | 772-288-7386
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Fax | 772-288-2381
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Provider Business Mailing Address
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Address Line | PO BOX 200
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City | AUGUSTA
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State | GA
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Zip | 30903-0200
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Country | US
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Telephone | 706-303-5500
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Fax | 706-854-7382
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Authorized Official
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Title or Position | SR VP
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Name | WALTER WRIGHT
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Credential |
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Telephone | 706-854-7301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 21585096
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License Number State | FL
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