Individual
ELIZABETH STAPLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4628 25TH ST SW, LEHIGH ACRES, FL 33973-6161
(484) 773-3236
Mailing address
4628 25TH ST SW, LEHIGH ACRES, FL 33973-6161
(484) 773-3236
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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