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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. STEPHANIE A GREEN, GROUP HOME PROVIDER

Active Sole Proprietor

MRS. STEPHANIE A GREEN, GROUP HOME PROVIDER is a Assisted Living Facility healthcare provider located in FORT MYERS, Florida. NPI 1417608357 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · FORT MYERS, FL

Registration Details

NPI Number
1417608357
Provider Type
Individual
Gender
Female
NPI Issued
Jan 12, 2022 (4.3983936931138 yrs)
Last Updated
Jan 12, 2022
Sole Proprietor
Yes

Practice Information

Address
4941 GARY DR
FORT MYERS, FL, 339053633
Browse FL providers · Browse ZIP 33905
Phone
2394107524
Fax
2396941994
Primary Specialty
Assisted Living Facility
311ZA0620X

Other Assisted Living Facility Providers in FORT MYERS, FL

Name Credential NPI
SOPHIE M LEWIS 1942647664
HAMDI ALHADDAD 1619430642
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.