# LIFESTYLES HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689925380
- **Authorized official:** MR. JAMES NELSON HOUGH RPT (OWNER)
- **Authorized official phone:** (863) 602-8326

## Contact information

- **Practice address:** 1591 HAYLEY LN, SUITE 101, FORT MYERS, FL 33907-2121
- **Practice address phone:** (863) 602-8326
- **Mailing address:** 1591 HAYLEY LN, SUITE 101, FORT MYERS, FL 33907-2121
- **Mailing address phone:** (863) 602-8326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/21/2012
- **Last updated:** 09/21/2012