Organization
MILLENNIUM HOUSE OF SOUTHWEST FLORIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA KAY RYERSON RN (ADMINISTRATOR/OWNER)
(239) 992-5513
Entity
Organization
Contact information
Practice address
8951 BONITA BEACH RD SE, SUITE 297, BONITA SPRINGS, FL 34135-4201
(239) 992-5513
(239) 992-2238
Mailing address
8951 BONITA BEACH RD SE, SUITE 297, BONITA SPRINGS, FL 34135-4201
(239) 992-5513
(239) 992-2238
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
AD8985
FL
Other
Enumeration date
06/19/2010
Last updated
06/19/2010
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