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Gertrude Dorman
Assisted Living Facility in Port Charlotte, Florida
NPI 1235890559

Gertrude Dorman is an Assisted Living Facility based in Port Charlotte, FL. Gertrude Dorman practices in Port Charlotte, FL. The NPI Number for Gertrude Dorman is 1235890559 and holds a License No. (Florida).

The current practice location address for Gertrude Dorman is 21936 Beverly Ave, Port Charlotte, FL and can be reached out via phone at 941-467-2665.

Location: 21936 Beverly Ave, Port Charlotte, FL, 33952-5429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235890559
Provider Name
Gertrude Dorman
Credential
Provider Entity Type
Individual
Gender
Female
Address
21936 Beverly Ave, Port Charlotte, FL, 33952-5429
Phone Number
941-467-2665
Fax Number
Provider Enumeration Date
01/08/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87-3948492 01 FL TAX IDENTIFICATION
institution
Provider Business Practice Location Address Details
Address
21936 Beverly Ave
City
Port Charlotte
State
Florida
Zip
33952-5429
Phone Number
941-467-2665
Fax Number
person
Provider Business Mailing Address Details
Address
21936 Beverly Ave
City
Port Charlotte
State
Florida
Zip
33952-5429
Phone Number
941-467-2665
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
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.
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