Bright Moon Group Home LLC
NPI #1841864543 in Cape Coral, Florida
Provider Information
- NPI Number
- 1841864543
- Entity Type
- Organization
- Organization Name
- Bright Moon Group Home LLC
- Primary Specialty
- Registered Nurse
- Enumeration Date
- May 17, 2021
- Last Updated
- May 17, 2021
Practice Location
- Address
- 2600 NE 6TH PL
- City
- Cape Coral
- State
- Florida
- ZIP Code
- 33909-4375
- Phone
- (239) 245-4019
Authorized Official
- Name
- JEAN NICOLAS ORELUS, REGISTERED NURSE
- Title
- DIRECTOR
- Phone
- (239) 245-4019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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