Organization · Type 2 NPI

MG Port Charlotte II Subtenant LLC

Assisted Living Facility · Port Charlotte, FL

NPI number 1083242945 Active

Practice location

18400 Cochran Blvd
Port Charlotte, FL 33948-3343

Call (941) 766-8900 Map

Mailing address

1938 Fairview Ave E Ste 300
Seattle, WA 98102-3650

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2 other providers at this address

Other assisted living facility providers in Port Charlotte

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NPI record

NPI: 1083242945
Entity type: Organization (Type 2)
Issued: Mar 27, 2020
Last updated: May 25, 2021
Status: Active

Other names

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Truewood By Merrill, Charlotte Center · doing business as
Truewood By Merrill, Charlotte Center · doing business as

Authorized official

Douglas D. Spear
Authorized Representative
(206) 676-5300

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083242945

MG Port Charlotte II Subtenant LLC's National Provider Identifier is 1083242945, issued on Mar 27, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Port Charlotte, FL. The record was last updated on May 25, 2021.