Organization
COMMUNITY ASSISTED AND SUPPORTED LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN S ELLER (CEO)
(941) 225-2373
Entity
Organization
Contact information
Practice address
461 VAN BUREN ST, FORT MYERS, FL 33916-3740
(239) 922-1969
(941) 366-0033
Mailing address
2911 FRUITVILLE RD, SARASOTA, FL 34237-5320
(941) 928-1814
(941) 366-0033
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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