PORT ST. LUCIE MGT LLC
Nursing at Walton Rd, Fort Pierce, FL

License number
Florida SNF14940961
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: MR. LAVERN PATRICK HERZOG
Title: PRESIDENT
Phone: (386) 668-9498
Address
Address
1655 SE Walton Rd, Fort Pierce, FL 34952
National Provider ID: 1548244502
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PORT ST. LUCIE MGT LLC at bizstanding.com

Port St. Lucie Mgt, LLC

Fort Pierce, FL  -  De Bary, FL

Registration:
Mar 24, 2003
Addresses:
1655 SE Walton Rd, Fort Pierce, FL 34952
PO Box 530787, De Bary, FL 32753
240 Eagle Est Dr, De Bary, FL 32713
State ID:
L03000010669
Business type:
Florida Limited Liability
Managing Members:
W. Stewart Swain (Managing Member),Herzog L. P (Managing Member),Laverne P. Herzog Manager, Managing Member, inactive,...
Agent:
Herzog L.p

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