Organization
CORAL SEA ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DOMINGUEZ MARRERO (OWNER)
(239) 265-2005
Entity
Organization
Contact information
Practice address
1405 SW 15TH ST, CAPE CORAL, FL 33991-2957
(239) 265-2005
Mailing address
1405 SW 15TH ST, CAPE CORAL, FL 33991-2957
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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