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Organization

FIVE STAR HOMECARE LLC

Active
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Organization

FIVE STAR HOMECARE LLC

Active
Other names
FIVE STAR HOMECARE LLC
Organization subpart
No

Provider details

NPI number
Authorized official
YIMY L RODRIGUEZ FUENTES (ADMINISTRATOR)
(239) 258-0603
Entity
Organization

Contact information

Practice address
629 SE 10TH PL, CAPE CORAL, FL 33990
(239) 258-0603
Mailing address
629 SE 10TH PL, CAPE CORAL, FL 33990-2942
(239) 258-0603

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—

Other

Enumeration date
06/05/2018
Last updated
07/12/2018
About Stedi
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