# PROTECTED HARBOR INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437665627
- **Authorized official:** CHARLES PERRY DUNCAN (MANAGER)
- **Authorized official phone:** (239) 278-0200

## Contact information

- **Practice address:** 4561 CAMINO REAL WAY, FORT MYERS, FL 33966-1026
- **Practice address phone:** (239) 278-0200
- **Mailing address:** 4561 CAMINO REAL WAY, FORT MYERS, FL 33966-1026
- **Mailing address phone:** (239) 278-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 10001700 | FL | Yes |

## Other

- **Enumeration date:** 12/26/2017
- **Last updated:** 12/26/2017