MEDICARE: NURTURE CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982357455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURTURE CARE INC

Provider Business Mailing Address
First Line	:	2313 3RD ST SW
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32962-3357
Country	:	US
Telephone Number	:	772-213-3612
Fax Number	:	772-492-3937

Provider Business Practice Location Address
First Line	:	2313 3RD ST SW
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32962-3357
Country	:	US
Telephone Number	:	177-241-0766
Fax Number	:	772-492-3937

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. JOSUE FILS ANDERSON DESIR
Credential	:
Telephone Number	:	772-213-3612

Provider Enumeration Date	:	02/03/2022
Last Update Date	:	02/03/2022

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Directions to “NURTURE CARE INC ” Practice Location

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