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Organization
THE ANTHURIUM
Active
Organization
THE ANTHURIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THELMA WILSON RN (ADMINISTRATOR/PARTNER)
(239) 368-1177
Entity
Organization
Contact information
Practice address
1835 E 12TH ST, LEHIGH ACRES, FL 33972-3238
(239) 368-1177
(239) 368-7019
Mailing address
PO BOX 639, LEHIGH ACRES, FL 33970-0639
(239) 369-1177
(239) 369-7019
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
7210
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141127600
—
FL
Enumeration date
05/30/2013
Last updated
05/30/2013
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