Provider Demographics
NPI:1508183997
Name:WINDSOR OF CAPE CORAL
Entity Type:Organization
Organization Name:WINDSOR OF CAPE CORAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH CARE CO-ORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HORNER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:239-772-9400
Mailing Address - Street 1:831 SANTA BARBARA BLVD
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-2072
Mailing Address - Country:US
Mailing Address - Phone:239-772-9400
Mailing Address - Fax:239-458-0290
Practice Address - Street 1:831 SANTA BARBARA BLVD
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-2072
Practice Address - Country:US
Practice Address - Phone:239-772-9400
Practice Address - Fax:239-458-0290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11678310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility