Individual provider · Type 1 NPI

Moselene Belizaire, SOLE PROPRIETOR

Adult Care Home Facility · Lehigh Acres, FL

NPI number 1124630892 Active

Practice location

3411 9th St W
Lehigh Acres, FL 33971-5357

Call (239) 258-6862 Map

Fax (239) 362-1561

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility 311ZA0620XNone listed
Adult Care Home Facility Primary 311ZA0620X6907016 (FL)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1124630892

Moselene Belizaire, SOLE PROPRIETOR's National Provider Identifier is 1124630892, issued on Aug 23, 2020. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Lehigh Acres, FL. The record was last updated on Sep 14, 2020.