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Organization

INCLUSIVE LLC - LIVING - SERIES 2

Active
Parent organization
INCLUSIVE ADVENTURES INC
Other names
Inclusive Living
Organization subpart
Yes

Provider details

NPI number
Legal business name
INCLUSIVE ADVENTURES INC
Authorized official
MR. MARK EARL FELLING (MANAGER)
(302) 308-4008
Entity
Organization

Contact information

Practice address
2145 CAPE WAY, NORTH FORT MYERS, FL 33917-2505
(763) 742-0612
Mailing address
2145 CAPE WAY, NORTH FORT MYERS, FL 33917-2505
(763) 742-0612

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251X00000X
Supports Brokerage Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
11/10/2023
Last updated
11/10/2023
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