Provider Demographics
NPI:1477923654
Name:EMBRACE ADULT FAMILY CARE HOME INC
Entity Type:Organization
Organization Name:EMBRACE ADULT FAMILY CARE HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE-MARTHE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-800-7620
Mailing Address - Street 1:1737 SW BRADWAY LANE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:33495
Mailing Address - Country:US
Mailing Address - Phone:772-800-7620
Mailing Address - Fax:772-607-5002
Practice Address - Street 1:1737 SW BRADWAY LN
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-1680
Practice Address - Country:US
Practice Address - Phone:772-800-7620
Practice Address - Fax:772-607-5002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home