Individual provider · Type 1 NPI
Carol Althea Lewis
Adult Care Home Facility · North Port, FL
NPI number
1326485186
Active
Practice location
12101 Ronda Ln
North Port, FL 34287-1468
Fax (941) 426-7707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 6905687 (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.
Other adult care home facility providers in North Port
About NPI 1326485186
Carol Althea Lewis's National Provider Identifier is 1326485186, issued on Jun 3, 2013. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in North Port, FL. The record was last updated on Jun 3, 2013.