Vick Street Manor

LBN: Family Extended Care Of Punta Gorda, Inc
Vick Street Manor is an health care organization with primary practice located at 22332 Vick St , Port Charlotte FL 33980-2053. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Family Extended Care Of Punta Gorda, Inc can be contacted via phone (941) 627-5388, or through Lewis, Debra M via phone (239) 247-3248.

Contact Information

Primary practice address
22332 Vick St Port Charlotte FL 33980-2053
Phone: (941) 627-5388
Fax: (941) 627-2007
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Debra M
Phone: (239) 247-3248

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL5016 Florida

Profile Details

NPI number 1851695399
LBN Legal business name Family Extended Care Of Punta Gorda, Inc
DBA Doing business as Vick Street Manor
Authorized official Lewis, Debra M
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2010
Last updated Dec 24th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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