Organization
HEAVENLY HANDS ASSISTED LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LEROY WILCOX JR. (ADMINISTRATOR)
(239) 691-0686
Entity
Organization
Contact information
Practice address
1909 NW 12TH AVE, CAPE CORAL, FL 33993-3971
(786) 346-1292
Mailing address
1909 NW 12TH AVE, CAPE CORAL, FL 33993-3971
(239) 691-0686
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13175
FL
Other
Enumeration date
05/27/2018
Last updated
05/27/2018
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