Organization
PORT CHARLOTTE ADULT DAYCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS BASTO (OWNER)
(941) 291-0524
Entity
Organization
Contact information
Practice address
19700 COCHRAN BLVD STE D-1, PORT CHARLOTTE, FL 33948-2032
(941) 291-0524
(941) 291-0146
Mailing address
2323 NE 26TH AVE STE 102, POMPANO BEACH, FL 33062-1147
(941) 291-0524
(941) 291-0146
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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