Organization
INTEGRATED-1 CORP
Active
Other names
Dornoch Place Del Prado
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDRA LEVITINA (ADMINISTRATOR)
(239) 573-7598
Entity
Organization
Contact information
Practice address
2728 SE 16TH PL, CAPE CORAL, FL 33904-3209
(239) 573-7598
Mailing address
2728 SE 16TH PL, CAPE CORAL, FL 33904-3209
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142931100
—
FL
05
—
692486700
—
FL
05
—
692486701
—
FL
Enumeration date
10/18/2012
Last updated
10/18/2012
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