Organization
FT MYERS ALF BSLC LLC
Active
Other names
LAMPLIGHT INN
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA ROJAS (MANAGER)
(941) 809-6147
Entity
Organization
Contact information
Practice address
1896 PARK MEADOWS DR, FORT MYERS, FL 33907-3738
(239) 939-5421
Mailing address
1896 PARK MEADOWS DR, FORT MYERS, FL 33907-3738
(239) 939-5421
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL5096
AHCA
FL
Enumeration date
06/08/2016
Last updated
06/08/2016
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