Organization
HSRE-AHR BONITA SPRINGS TRS LLC
Active
Other names
American House Bonita Springs
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE VALENTINE (ADMINISTRATOR)
(239) 301-4239
Entity
Organization
Contact information
Practice address
11400 LONGFELLOW LN, BONITA SPRINGS, FL 34135-5963
(239) 301-4239
(239) 301-0613
Mailing address
11400 LONGFELLOW LN, BONITA SPRINGS, FL 34135-5963
(239) 301-4239
(239) 301-0613
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12672
FL
Other
Enumeration date
02/19/2018
Last updated
11/17/2021
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