Organization
FORT MYERS OSL OPERATING LLC
Active
Other names
The Opal at Lakes Park
Organization subpart
No
Provider details
NPI number
Authorized official
HILLEL FEUERMAN (MANAGER)
(813) 562-9287
Entity
Organization
Contact information
Practice address
14521 LAKEWOOD BLVD, FORT MYERS, FL 33919-2829
(239) 481-6666
Mailing address
12811 KENWOOD LN STE 218, FORT MYERS, FL 33907-5645
(239) 292-1513
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121903700
—
FL
Enumeration date
04/19/2024
Last updated
04/19/2024
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