Organization
EMERITUS CORPORATION
Active
Other names
Brookdale Fort Myers Cypress Lake
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA F.C. MUNOZ (ASSISTANT SECRETARY)
(414) 918-5443
Entity
Organization
Contact information
Practice address
7460 LAKE BREEZE DR, FORT MYERS, FL 33907-8090
(239) 454-4100
Mailing address
7460 LAKE BREEZE DR, FORT MYERS, FL 33907-8090
(239) 454-4100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092973-00
—
FL
Enumeration date
11/23/2009
Last updated
03/20/2025
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