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Organization
THE EBENEZER ALF II, LLC
Active
Organization
THE EBENEZER ALF II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAZMIN PEREZ RN (ADMINISTRATOR)
(239) 333-5920
Entity
Organization
Contact information
Practice address
304 CHAUCER AVE, LEHIGH ACRES, FL 33936-7731
(239) 368-2101
Mailing address
304 CHAUCER AVE, LEHIGH ACRES, FL 33936-7731
(239) 368-2101
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/29/2019
Last updated
12/29/2019
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