| A Life Foundation Family Services, Llc | |
|
14179 Danpark Loop Fort Myers FL 33912-6853 | |
| (919) 672-3939 | |
| Not Available |
| Full Name | A Life Foundation Family Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14179 Danpark Loop, Fort Myers, Florida |
| Authorized Official Name and Position | Carlos M Garcia Samuels (CEO) |
| Authorized Official Contact | 9196723939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Life Foundation Family Services, Llc 14179 Danpark Loop Fort Myers FL 33912-6853 Ph: (919) 672-3939 | A Life Foundation Family Services, Llc 14179 Danpark Loop Fort Myers FL 33912-6853 Ph: (919) 672-3939 |
| NPI Number | 1063756377 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063756377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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