Organization
IDEAL SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY MARTINEZ (OWNER)
(239) 848-6428
Entity
Organization
Contact information
Practice address
1504 EDWARD AVE, LEHIGH ACRES, FL 33972-2409
(239) 368-7908
(239) 368-7908
Mailing address
1504 EDWARD AVE, LEHIGH ACRES, FL 33972-2409
(239) 368-7908
(239) 368-7908
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13094
FL
Other
Enumeration date
02/16/2018
Last updated
06/09/2021
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