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THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC NPI 1386073088


NPI Information

NPI: 1386073088
Provider Name: THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC

Doing Business As: KINGS CROWN-SHELL POINT VILLAGE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2233765

Address:
3600 KINGS CROWN CT
FORT MYERS, FL
ZIP 33908
Phone: (239) 454-2179
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THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC is an assisted living facility in Fort Myers, 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. THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC NPI is 1386073088. The provider is registered as an organization entity type.
The provider Is Doing Business As Kings Crown-shell Point Village.

The provider's business location address is:

3600 KINGS CROWN CT
FORT MYERS, FL
ZIP 33908-648
Phone: (239) 454-2179
Fax: (239) 454-2221

The provider's authorized official is Rita Marie Southern .
The authorized official title is Director Of Assisted Living and has the following contact phone number (239) 454-2179.

The CLIA number assigned to this NPI record is 10D2233765 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2013 and was last updated on 1/28/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL6012FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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