Organization
MILLENNIUM HOUSE 2, LLC
Active
Organization
MILLENNIUM HOUSE 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MORANO (OWNER)
(239) 878-4510
Entity
Organization
Contact information
Practice address
8951 BONITA BEACH RD SE STE 297, BONITA SPRINGS, FL 34135-4204
(239) 992-5513
Mailing address
19460 LA SERENA DR, ESTERO, FL 33967-0527
(239) 878-4510
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
8985
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020344700
—
FL
Enumeration date
06/21/2017
Last updated
06/21/2017
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