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Mrs. Stephanie A Green, GROUPHOMEPROVIDER
Adult Care Home Facility in Fort Myers, Florida
NPI 1417608357

Stephanie A Green is an Adult Care Home Facility based in Fort Myers, FL and is specialized in Adult Care Home. Stephanie A Green practices in Fort Myers, FL and has the professional credentials of GROUPHOMEPROVIDER. The NPI Number for Stephanie A Green is 1417608357 and holds a License No. (Florida).

The current practice location address for Stephanie A Green is 4941 Gary Dr, Fort Myers, FL and can be reached out via phone at 239-410-7524 and via fax at 239-694-1994.

Location: 4941 Gary Dr, Fort Myers, FL, 33905-3633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417608357
Provider Name
Stephanie A Green
Credential
GROUPHOMEPROVIDER
Provider Entity Type
Individual
Gender
Female
Address
4941 Gary Dr, Fort Myers, FL, 33905-3633
Phone Number
239-410-7524
Fax Number
239-694-1994
Provider Enumeration Date
01/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4941 Gary Dr
City
Fort Myers
State
Florida
Zip
33905-3633
Phone Number
239-410-7524
Fax Number
239-694-1994
person
Provider Business Mailing Address Details
Address
4941 Gary Dr
City
Fort Myers
State
Florida
Zip
33905-3633
Phone Number
239-410-7524
Fax Number
239-694-1994
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
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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