Organization
DIVINE ANGEL ADULT DAY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YAMIVIA VALDES (PRESIDENT)
(941) 467-2353
Entity
Organization
Contact information
Practice address
3443 HANCOCK BRIDGE PKWY STE 501, NORTH FORT MYERS, FL 33903-7007
(941) 467-2353
Mailing address
1626 NE 17TH TER, CAPE CORAL, FL 33909-5603
(941) 467-2353
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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