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Organization
PELICAN HOME CARE,LLC
Active
Organization
PELICAN HOME CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE JULMEUS MS (DIRECTOR)
(239) 424-9137
Entity
Organization
Contact information
Practice address
2733 OAK RIDGE CT, SUITE 103, FORT MYERS, FL 33901-9357
(239) 424-9137
Mailing address
2733 OAK RIDGE CT, SUITE 103, FORT MYERS, FL 33901-9357
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
251E00000X
Home Health Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002327600
—
FL
Enumeration date
09/13/2011
Last updated
09/13/2011
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