SHP III HERON FORT MYERS LLC NPI 1447459334

NPI Information

SHP III HERON 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. SHP III HERON FORT MYERS, LLC NPI is 1447459334. The provider is registered as an organization entity type.

The provider's business location address is:

9731 COMMERCE CENTER CT
FORT MYERS, FL
ZIP 33908-400
Phone: (239) 334-2500

The provider's authorized official is John Dark .
The authorized official title is Vp and has the following contact phone number (770) 395-8635.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 7/12/2007.

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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