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Organization

LITTLE SAILORS HEALTHCARE CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDIEL TIEL (VP/CEO)
(239) 413-6059
Entity
Organization

Contact information

Practice address
506 NE 24TH TER, CAPE CORAL, FL 33909-4335
(239) 446-7227
Mailing address
506 NE 24TH TER, CAPE CORAL, FL 33909-4335

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
374U00000X
Home Health Aide
Primary

Other

Enumeration date
09/03/2025
Last updated
03/18/2026
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