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LL FORT MYERS LLC NPI 1407270432


NPI Information

NPI: 1407270432
Provider Name: LL, FORT MYERS, LLC

Doing Business As: LAMPLIGHT INN OF FORT MYERS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1896 PARK MEADOWS DR
FORT MYERS, FL
ZIP 33907
Phone: (239) 939-5421
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LL, FORT MYERS, LLC 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. LL, FORT MYERS, LLC NPI is 1407270432. The provider is registered as an organization entity type.
The provider Is Doing Business As Lamplight Inn Of Fort Myers.

The provider's business location address is:

1896 PARK MEADOWS DR
FORT MYERS, FL
ZIP 33907-738
Phone: (239) 939-5421

The provider's authorized official is Bobby Petras .
The authorized official title is Coo and has the following contact phone number (260) 797-9482.

The enumeration date for this NPI number is 2/11/2014 and was last updated on 2/11/2014.


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 FacilityAL5096FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AL5096OTHERFLORIDARESIDENTIAL CARE FACILITY LICENSE

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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