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Organization
THE PROMISED LAND ALF INC
Active
Organization
THE PROMISED LAND ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXIS MATIAS RN (OWNER)
(239) 288-8502
Entity
Organization
Contact information
Practice address
1041 NE PINE ISLAND LN, CAPE CORAL, FL 33909-2176
(239) 288-8502
Mailing address
1041 NE PINE ISLAND LN, CAPE CORAL, FL 33909-2176
(239) 288-8502
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
06/17/2021
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