Organization
GREENLEAF ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELIZA M BACHNER (OWNER)
(239) 673-7638
Entity
Organization
Contact information
Practice address
520 NE 19TH CT, CAPE CORAL, FL 33909-2708
(239) 673-7638
Mailing address
520 NE 19TH CT, CAPE CORAL, FL 33909-2708
(239) 673-7638
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906550
FL
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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