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Organization

COURTYARD ENTERPRISES OF PORT CHARLOTTE, LLC

Active
Other names
the courtyard assisted living
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEX PANSACOLA SIQUIJOR MD (ADMINISTRATOR)
(941) 979-8119
Entity
Organization

Contact information

Practice address
26455 RAMPART BLVD, PUNTA GORDA, FL 33983-6211
(941) 624-2225
(941) 625-6125
Mailing address
26455 RAMPART BLVD, PUNTA GORDA, FL 33983-6211
(941) 624-2225
(941) 625-6125

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7326
FL

Other

Enumeration date
01/07/2009
Last updated
01/07/2009
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