JUNIPER VILLAGE EVENTIDE LP NPI 1205088986

NPI Information

JUNIPER VILLAGE EVENTIDE LP is an assisted living facility in Cape Coral, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. JUNIPER VILLAGE EVENTIDE LP NPI is 1205088986. The provider is registered as an organization entity type.
The provider Is Doing Business As Juniper Village @ Cape Coral.

The provider's business location address is:

4920 VICEROY CT
CAPE CORAL, FL
ZIP 33904-048
Phone: (239) 542-3121

The provider's authorized official is Margaret Pepper .
The authorized official title is Executive Director and has the following contact phone number (239) 542-3121.

The CLIA number assigned to this NPI record is 10D1033976 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2008 and was last updated on 10/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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