OrganizationActive
Panache Holistics
NPI 1376296301 · Assisted Living Facility (Behavioral Disturbances) · Fort Myers, FL
Provider details
- NPI number
- 1376296301
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Provencher, President, Ceo(239) 839-4997
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2552 Barcelona Ave
Fort Myers, FL 33905-2212
Phone: (239) 410-6250
Approximate (ZIP-level) locationGet directions
Mailing address
2552 Barcelona Ave
Fort Myers, FL 33905-2212
Registry dates
- Enumerated
- 2022-01-31
- Last updated
- 2022-01-31
- Certified
- 2022-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.