NPI: 1578760187
Provider Name: SHALIMARE INC.
Former Legal Business Name: SHALIMARE INC.
Classification: Respite Care - 385HR2060X
Entity Type: Organization
Specialization: Respite Care, Intellectual and/or Developmental Disabilities
Address:
613 CAROLINA AVE
FORT MYERS, FL
ZIP 33905
Phone: (239) 839-4997
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SHALIMARE INC. is a respite care and mental retardation and/or developmental disabilities respite care in Fort Myers, FL. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. SHALIMARE INC. NPI is 1578760187. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Shalimare Inc..
The provider's business location address is:
613 CAROLINA AVE
FORT MYERS, FL
ZIP 33905-015
Phone: (239) 839-4997
Fax: (239) 693-1121
The provider's authorized official is Mary Ellen Provencher .
The authorized official title is President Of Shalimare Inc. and has the following contact phone number (239) 839-4997.
The enumeration date for this NPI number is 6/27/2007 and was last updated on 8/22/2020.