Organization
AVALON MANOR ASSISTED LIVING FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA DEOSARAN (OWNER)
(239) 479-5282
Entity
Organization
Contact information
Practice address
2580 FIRST ST, FORT MYERS, FL 33901-2410
(239) 479-5282
Mailing address
2580 FIRST STREET, FORT MYERS, FL 33901
(239) 479-5282
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12029
FL
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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