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Organization
LEE COMMUNITY HOME HEALTHCARE INC
Active
Organization
LEE COMMUNITY HOME HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVELISSE GONZALEZ RN (ADMINISTRATOR)
(239) 800-4861
Entity
Organization
Contact information
Practice address
1408 SE 17TH AVE STE E, CAPE CORAL, FL 33990-3801
(239) 800-4861
(239) 800-4861
Mailing address
1408 SE 17TH AVE STE E, CAPE CORAL, FL 33990-3801
(239) 800-4861
(239) 800-4861
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110218400
—
FL
Enumeration date
10/19/2020
Last updated
05/10/2021
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