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Organization
THE VILLAGE ALF I CORP.
Active
Organization
THE VILLAGE ALF I CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENIER J PORTIEL (OWNER)
(305) 986-9698
Entity
Organization
Contact information
Practice address
301 KAMAL PKWY, CAPE CORAL, FL 33904-2745
(239) 242-7449
(239) 673-9207
Mailing address
301 KAMAL PKWY, CAPE CORAL, FL 33904-2745
(239) 242-7449
(239) 673-9207
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12313
FL
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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