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Cheryl Douglas
Adult Care Home Facility in Lehigh Acres, Florida
NPI 1568718153

Cheryl Douglas is an Adult Care Home Facility based in Lehigh Acres, FL and is specialized in Adult Care Home. Cheryl Douglas practices in Lehigh Acres, FL. The NPI Number for Cheryl Douglas is 1568718153 and holds a License No. 6906497 (Florida).

The current practice location address for Cheryl Douglas is 919 Commodore St, Lehigh Acres, FL and can be reached out via phone at 239-303-4637 and via fax at 239-244-9306.

Location: 919 Commodore St, Lehigh Acres, FL, 33974-4550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568718153
Provider Name
Cheryl Douglas
Credential
Provider Entity Type
Individual
Gender
Male
Address
919 Commodore St, Lehigh Acres, FL, 33974-4550
Phone Number
239-303-4637
Fax Number
239-244-9306
Provider Enumeration Date
08/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
919 Commodore St
City
Lehigh Acres
State
Florida
Zip
33974-4550
Phone Number
239-303-4637
Fax Number
239-244-9306
person
Provider Business Mailing Address Details
Address
919 Commodore St
City
Lehigh Acres
State
Florida
Zip
33974-4550
Phone Number
239-303-4637
Fax Number
239-244-9306
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6906497 (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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