Individual
CHERYL DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
919 COMMODORE ST, LEHIGH ACRES, FL 33974-4550
(239) 303-4637
(239) 244-9306
Mailing address
919 COMMODORE ST, LEHIGH ACRES, FL 33974-4550
(239) 303-4637
(239) 244-9306
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906497
FL
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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