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Organization
GAVIOTA CARE INC
Active
Organization
GAVIOTA CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN ORTEGA (ADMINISTRATOR)
(239) 285-1392
Entity
Organization
Contact information
Practice address
2461 EVERGLADES BLVD N, NAPLES, FL 34120-5540
(239) 285-1392
(941) 462-1868
Mailing address
2461 EVERGLADES BLVD N, NAPLES, FL 34120-5540
(239) 285-1392
(941) 462-1868
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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