Organization
MANOR CARE OF FT MYERS FL LLC
Active
Other names
ManorCare Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
13881 EAGLE RIDGE DR, FT MYERS, FL 33912-1866
(239) 561-7700
(239) 561-7800
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF130471009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032538400
—
FL
Enumeration date
05/28/2006
Last updated
01/07/2022
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