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Contact Information

1ST LIGHT OF HOPE
118 SW ANDOVER CT
PORT SAINT LUCIE, FL34953-6961
 Phone: 772-214-5860
 Fax: 800-854-2598
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for 1ST LIGHT OF HOPE

NPI Number 1497349625
LBN Legal business name 1ST LIGHT OF HOPE
Authorized official DON ANDREWS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2021
Last updated 02/28/2021 - About 5 years ago
Identifiers
FL Medicaid 1262
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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