Organization
FULL CIRCLE OF LOVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLISA JOHNSON (ADMINISTRATOR)
(239) 240-6721
Entity
Organization
Contact information
Practice address
105 SW TRAFALGAR PKWY, CAPE CORAL, FL 33991-3489
(239) 240-6721
Mailing address
105 SW TRAFALGAR PKWY, CAPE CORAL, FL 33991-3489
(239) 240-6721
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/27/2020
Last updated
09/04/2020
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