Organization
NEVILLE NGABE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEVILLE NGABE RN (CEO)
(417) 297-5142
Entity
Organization
Contact information
Practice address
10140 VIA COLOMBA CIR, FORT MYERS, FL 33966-6549
(417) 297-5142
Mailing address
407 E AYRE ST # 1162, WILMINGTON, DE 19804-2512
(417) 297-5142
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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