Organization
AREA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER J SCOUTON (OWNER- EFFECTIVE 07/01/2022)
(218) 616-0017
Entity
Organization
Contact information
Practice address
804 SE 16TH PL, CAPE CORAL, FL 33990-1645
(239) 574-9494
Mailing address
21706 COUNTY 2, NEVIS, MN 56467-4001
(218) 616-0017
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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