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Organization

ALLCARE OF SOUTHWEST FLORIDA, LLC

Active
Parent organization
ALLCARE NATIONAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALLCARE NATIONAL
Authorized official
LATONIA SMITH (OFFICE MANAGER)
(800) 674-3729
Entity
Organization

Contact information

Practice address
2040 VIRGINIA AVE, FORT MYERS, FL 33901-3313
(800) 674-3729
Mailing address
2040 VIRGINIA AVE, FORT MYERS, FL 33901-3313
(800) 674-3729

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023093100
FL
Enumeration date
08/23/2018
Last updated
08/23/2018
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