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FLORIDA DEPARTMENT OF VETERANS AFFAIRS

Alzheimer Center

Port Charlotte, Florida

Provider NPI: 1629060272

Organization Information:
Organization Name:  FLORIDA DEPARTMENT OF VETERANS AFFAIRS


Practice Location:
21281 GRAYTON TER  PORT CHARLOTTE, FL 33954 US
Tel: 941-613-0919  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
FL
X314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
FL

Other Provider Identifiers:

IssuerNumberStateType
BCBSM4JFL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS FL - Page 1



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