Organization · Type 2 NPI

Ivy Flo Moore

Adult Care Home Facility · Port Charlotte, FL

NPI number 1366864795 Active

Practice location

23145 Gray Ave
Port Charlotte, FL 33980-8587

Call (941) 627-5983 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X6906285 (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 1366864795

Ivy Flo Moore's National Provider Identifier is 1366864795, issued on Jan 21, 2014. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Port Charlotte, FL. The record was last updated on Jan 21, 2014.