MEDICARE: CHOICES IN LIVING SWF, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385H00000X	Respite Care	8917	FL

General Provider Information

NPI Number	:	1043584659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOICES IN LIVING SWF, INC

Provider Business Mailing Address
First Line	:	3812 SKYLINE BLVD
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-3323
Country	:	US
Telephone Number	:	239-540-6813
Fax Number	:

Provider Business Practice Location Address
First Line	:	3812 SKYLINE BLVD
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-3323
Country	:	US
Telephone Number	:	239-540-6813
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. FRANCI GATTURNA
Credential	:
Telephone Number	:	239-540-6813

Provider Enumeration Date	:	02/29/2012
Last Update Date	:	02/29/2012

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