Ivy Flo Moore
Ivy Flo Moore is an Adult Care Home Facility in Port Charlotte, Florida. Licensed in Florida. Registered with an NPI since 2014.
- Licensed in
- FL
- In the registry since
- 2014
Practice location Address checks out
23145 Gray AvePort Charlotte, FL 33980-8587
Phone: (941) 627-5983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 6906285 (FL) |
|---|
Record details
| NPI number | 1366864795 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ivy Moore — Owner · (941) 627-5983 |
| NPI enumerated | January 21, 2014 |
| Last updated in NPPES | January 21, 2014 |
| Mailing address | 23145 Gray Ave, Port Charlotte, FL 33980-8587 |
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