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Organization
COMMUNITY RESOURCE NETWORK OF FLORIDA, LLC
Active
Organization
COMMUNITY RESOURCE NETWORK OF FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JEROME (DIRECTOR OF OPERATIONS)
(239) 247-2041
Entity
Organization
Contact information
Practice address
12751 WORLD PLAZA LN, FORT MYERS, FL 33907-3989
(239) 415-7400
(239) 236-0236
Mailing address
12751 WORLD PLAZA LN, FORT MYERS, FL 33907-3989
(239) 415-7400
(239) 236-0236
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
347B00000X
Bus
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
04/18/2011
Last updated
10/26/2022
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