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General NPI Number Information
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NPI Number | 1427961598
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Entity Type | Organization
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Legal Business Name | ARDEN COURTS 6125 RATTLESNAKE HAMMOCK ROAD, LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 6125 RATTLESNAKE HAMMOCK RD
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City | NAPLES
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State | FL
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Zip | 34113-2912
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Country | US
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Telephone | 239-417-8511
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Fax | 239-417-8512
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Provider Business Mailing Address
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Address Line | 6125 RATTLESNAKE HAMMOCK RD
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City | NAPLES
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State | FL
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Zip | 34113-2912
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Country | US
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Telephone | 239-417-8511
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Fax | 239-417-8512
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KRISTEN MANGHAM
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Credential |
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Telephone | 239-417-8511
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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 | NULL
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