Individual provider · Type 1 NPI
Gertrude Dorman
Assisted Living Facility · Port Charlotte, FL
NPI number
1235890559
Active
Practice location
21936 Beverly Ave
Port Charlotte, FL 33952-5429
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.
About NPI 1235890559
Gertrude Dorman's National Provider Identifier is 1235890559, issued on Jan 8, 2022. 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 Jan 8, 2022.