10D2087660 CLIA NUMBER - LOVING HEART ADULT DAY CARE INC

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Laboratory Demographics

CLIA Number: 10D2087660

Facility Name: LOVING HEART ADULT DAY CARE INC

Facility Address:
5711 INDEPENDENCE CIR STE 2
FORT MYERS, FL
ZIP 33912
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Facility Phone Number: 239 437-2788

Facility Type: Other - ADULT DAY CARE CENTER

Certificate Type: Waiver

NPI Number: 1154604312

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2087660
LAB Type	Other - ADULT DAY CARE CENTER
Facility Name	LOVING HEART ADULT DAY CARE INC
Street	5711 INDEPENDENCE CIR STE 2
City	FORT MYERS
State	FL
ZIP	33912
Phone	239 437-2788
CertificateType	4
CertificateEffectiveDate	12/2/2022
CertificateExpirationDate	12/1/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024