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General NPI Number Information
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NPI Number | 1144194820
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Entity Type | Organization
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Legal Business Name | CAPE CHATEAU 3 ALF LLC
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 1992 QUEEN ST
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City | NORTH FORT MYERS
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State | FL
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Zip | 33917-3942
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Country | US
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Telephone | 239-265-3220
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Fax |
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Provider Business Mailing Address
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Address Line | 804 SE 16TH PL
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City | CAPE CORAL
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State | FL
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Zip | 33990-1645
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARLENE SILVA
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Credential |
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Telephone | 239-265-3220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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