Organization
MINK OF LEE COUNTY, INC. DBA THE WOODLANDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORAZON BURIAS RN (ADMINISTRATOR)
(239) 574-8789
Entity
Organization
Contact information
Practice address
825 SANTA BARBARA BLVD, CAPE CORAL, FL 33991-2072
(239) 574-8789
(239) 574-1883
Mailing address
825 SANTA BARBARA BLVD., CAPE CORAL, FL 33991
(239) 574-8789
(239) 574-1883
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690488200
—
FL
Enumeration date
06/11/2007
Last updated
07/03/2008
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