Mrs. Stephanie A Green, GROUPHOMEPROVIDER
Mrs. Stephanie A Green, GROUPHOMEPROVIDER is an Adult Care Home Facility in Fort Myers, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
4941 Gary DrFort Myers, FL 33905-3633
Phone: (239) 410-7524
Fax: (239) 694-1994
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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 |
|---|
Record details
| NPI number | 1417608357 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | GROUPHOMEPROVIDER |
| Sole proprietor | Yes |
| NPI enumerated | January 12, 2022 |
| Last updated in NPPES | January 12, 2022 |
| Certification date | January 12, 2022 |
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