Organization
MICHAEL FATE
Active
Other names
Oasis in Paradise
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WILLIAM FATE (OWNER)
(239) 574-3024
Entity
Organization
Contact information
Practice address
525 NW 20TH TER, CAPE CORAL, FL 33993-4125
(239) 574-3024
(636) 352-4682
Mailing address
525 NW 20TH TER, CAPE CORAL, FL 33993-4125
(239) 574-3024
(636) 352-4682
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906254
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6906254
AHCA
FL
Enumeration date
08/05/2008
Last updated
08/05/2008
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