Provider Demographics
NPI:1295557023
Name:ADONAI HEALING HEALTH AGENCY LLC
Entity type:Organization
Organization Name:ADONAI HEALING HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEUNE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP RN
Authorized Official - Phone:561-229-3265
Mailing Address - Street 1:3951 N HAVERHILL RD STE 206
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-8339
Mailing Address - Country:US
Mailing Address - Phone:561-229-3265
Mailing Address - Fax:866-227-9219
Practice Address - Street 1:325 SE YARDLEY TER
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-2140
Practice Address - Country:US
Practice Address - Phone:561-229-3265
Practice Address - Fax:866-227-9219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility