Organization
AVALON ASSISTED LIVING
Active
Parent organization
PEACE OUTLOOK INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEACE OUTLOOK INC.
Authorized official
GUERDITH MICHEL (OWNER/ADMINISTRATOR)
(786) 859-6824
Entity
Organization
Contact information
Practice address
2580 E FIRST ST, FORT MYERS, FL 33901-2410
(239) 479-5282
(239) 479-7781
Mailing address
2580 E FIRST ST, FORT MYERS, FL 33901-2410
(239) 479-5282
(239) 479-7781
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL12029
FL
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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