Organization
FORT MYERS FL ICF OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BATYA GORELICK (COO)
(239) 995-5833
Entity
Organization
Contact information
Practice address
2975 GARDEN ST, FORT MYERS, FL 33917-1883
(239) 995-5833
Mailing address
980 SYLVAN AVE, ENGLEWOOD CLIFFS, NJ 07632-3301
(201) 928-7800
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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