Healthcare Provider Details

I. General information

NPI: 1780683854
Provider Name (Legal Business Name): HEALTH CENTER OF NAPLES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 01/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10949 PARNU ST
NAPLES FL
34109-1405
US

IV. Provider business mailing address

10949 PARNU ST
NAPLES FL
34109-1405
US

V. Phone/Fax

Practice location:
  • Phone: 239-592-5501
  • Fax: 239-592-1774
Mailing address:
  • Phone: 239-592-5501
  • Fax: 239-592-1774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number105790
License Number StateFL

VIII. Authorized Official

Name: MRS. PATRICIA DELRIO
Title or Position: ADMINISTRATOR
Credential: LICENSED ADMINISTRAT
Phone: 239-592-5501