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MICHAEL FATE

Adult Care Home

Cape Coral, Florida

Provider NPI: 1679739932

Organization Information:
Organization Name:  MICHAEL FATE


Practice Location:
525 NW 20TH TER  CAPE CORAL, FL 33993 US
Tel: 239-574-3024  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
FL6906254

Other Provider Identifiers:

IssuerNumberStateType
AHCA6906254FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS FL - Page 1