# ADULT FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1497191308
- **Authorized official:** MRS. ANIECE THERMIDOR (PROVIDER)
- **Authorized official phone:** (239) 209-7894

## Contact information

- **Practice address:** 4490 20TH ST NE, NAPLES, FL 34120-0479
- **Practice address phone:** (239) 209-7894
- **Mailing address:** 4490 20TH ST NE, NAPLES, FL 34120-0479
- **Mailing address phone:** (239) 209-7894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906547 | FL | Yes |

## Other

- **Enumeration date:** 05/17/2013
- **Last updated:** 05/17/2013