Organization
ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANIECE THERMIDOR (PROVIDER)
(239) 209-7894
Entity
Organization
Contact information
Practice address
4490 20TH ST NE, NAPLES, FL 34120-0479
(239) 209-7894
Mailing address
4490 20TH ST NE, NAPLES, FL 34120-0479
(239) 209-7894
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906547
FL
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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