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AVALON MANOR ASSISTED LIVING FACILITY LLC NPI 1609237163


NPI Information

NPI: 1609237163
Provider Name: AVALON MANOR ASSISTED LIVING FACILITY LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2580 FIRST ST
FORT MYERS, FL
ZIP 33901
Phone: (239) 479-5282
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AVALON MANOR ASSISTED LIVING FACILITY 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. AVALON MANOR ASSISTED LIVING FACILITY LLC NPI is 1609237163. The provider is registered as an organization entity type.

The provider's business location address is:

2580 FIRST ST
FORT MYERS, FL
ZIP 33901-410
Phone: (239) 479-5282

The provider's authorized official is Patricia Deosaran .
The authorized official title is Owner and has the following contact phone number (239) 479-5282.

The enumeration date for this NPI number is 3/11/2016 and was last updated on 3/11/2016.


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 FacilityAL12029FLORIDAYes

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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