Organization
A LIFE FOUNDATION FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS M GARCIA SAMUELS OWNER (CEO)
(919) 672-3939
Entity
Organization
Contact information
Practice address
14179 DANPARK LOOP, FORT MYERS, FL 33912-6853
(919) 672-3939
Mailing address
14179 DANPARK LOOP, FORT MYERS, FL 33912-6853
(919) 672-3939
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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