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Mrs. Carol Althea Lewis
Adult Care Home Facility in North Port, Florida
NPI 1326485186

Carol Althea Lewis is an Adult Care Home Facility based in North Port, FL and is specialized in Adult Care Home. Carol Althea Lewis practices in North Port, FL. The NPI Number for Carol Althea Lewis is 1326485186 and holds a License No. 6905687 (Florida).

The current practice location address for Carol Althea Lewis is 12101 Ronda Ln, North Port, FL and can be reached out via phone at 941-426-7707 and via fax at 941-426-7707.

Location: 12101 Ronda Ln, North Port, FL, 34287-1468
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326485186
Provider Name
Carol Althea Lewis
Credential
Provider Entity Type
Individual
Gender
Female
Address
12101 Ronda Ln, North Port, FL, 34287-1468
Phone Number
941-426-7707
Fax Number
941-426-7707
Provider Enumeration Date
06/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417657 05 FL
institution
Provider Business Practice Location Address Details
Address
12101 Ronda Ln
City
North Port
State
Florida
Zip
34287-1468
Phone Number
941-426-7707
Fax Number
941-426-7707
person
Provider Business Mailing Address Details
Address
12101 Ronda Ln
City
North Port
State
Florida
Zip
34287-1468
Phone Number
941-426-7707
Fax Number
941-426-7707
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6905687 (Florida)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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