Organization
LA COLONIA 1 ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAZARO FLORES (PRESIDENT)
(239) 247-9962
Entity
Organization
Contact information
Practice address
830 N. E. 10 LANE, CAPE CORAL, FL 33909-1404
(239) 772-0029
(239) 574-0029
Mailing address
830 N. E. 10 LANE, CAPE CORAL, FL 33909-1404
(239) 772-0029
(239) 574-0029
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11909
FL
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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