# MILLENNIUM HOUSE OF SOUTHWEST FLORIDA, INC

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

## Provider details

- **NPI number:** 1497076889
- **Authorized official:** CYNTHIA KAY RYERSON RN (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (239) 992-5513

## Contact information

- **Practice address:** 8951 BONITA BEACH RD SE, SUITE 297, BONITA SPRINGS, FL 34135-4201
- **Practice address phone:** (239) 992-5513
- **Practice address fax:** (239) 992-2238
- **Mailing address:** 8951 BONITA BEACH RD SE, SUITE 297, BONITA SPRINGS, FL 34135-4201
- **Mailing address phone:** (239) 992-5513
- **Mailing address fax:** (239) 992-2238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | AD8985 | FL | Yes |

## Other

- **Enumeration date:** 06/19/2010
- **Last updated:** 06/19/2010