Organization
DIVINE CARE OF PORT CHARLOTTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVET A FLOWERS DAVIS (ADMINISTRATOR)
(941) 626-5409
Entity
Organization
Contact information
Practice address
2532 STARLITE LN, PORT CHARLOTTE, FL 33952-5653
(941) 626-5409
(941) 235-8770
Mailing address
2532 STARLITE LN, PORT CHARLOTTE, FL 33952-5653
(941) 626-5409
(941) 235-8770
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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