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Organization

THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC

Active
Parent organization
THE CHRISTIAN AND MISSIONARY ALLIANCE FOUNDATION INC
Other names
The Larsen Health Center, Shell Point Nursing Pavilion
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE CHRISTIAN AND MISSIONARY ALLIANCE FOUNDATION INC
Authorized official
TASHA MARIE VASSAR (MEDICAL BILLING MANAGER)
(239) 433-7937
Entity
Organization

Contact information

Practice address
13880 SHELL POINT PLZ STE 200, FORT MYERS, FL 33908-3504
(239) 454-2041
(239) 454-2224
Mailing address
15000 SHELL POINT BLVD, SUITE#100, FORT MYERS, FL 33908-1637
(239) 454-2146
(239) 454-2111

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022920200
FL
01
=========
TAX ID# (EIN)
FL
Enumeration date
11/17/2006
Last updated
03/29/2022
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