Organization
FESTA ENTERPRISES INC.
Active
Other names
Villa Palms ALF
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOLORES J FESTA ADMINISTRATOR (OWNER)
(239) 565-3846
Entity
Organization
Contact information
Practice address
6722 WINKLER RD, FORT MYERS, FL 33919-7204
(239) 433-5553
(239) 481-9919
Mailing address
13860 LILY PAD CIR, FORT MYERS, FL 33907-1825
(239) 565-3846
(239) 481-9919
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
7353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680876000
MEDICAID WAIVER
FL
Enumeration date
01/07/2013
Last updated
01/07/2013
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