Individual
MOSELENE BELIZAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOLE PROPRIETOR
Contact information
Practice address
3411 9TH ST W, LEHIGH ACRES, FL 33971-5357
(239) 258-6862
(239) 362-1561
Mailing address
3411 9TH ST W, LEHIGH ACRES, FL 33971-5357
(239) 258-6862
(239) 362-1561
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6907016
FL
311ZA0620X
Adult Care Home Facility
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Other
Enumeration date
08/23/2020
Last updated
09/14/2020
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