Organization
PELICAN HAVEN,LLC
Active
Organization
PELICAN HAVEN,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE JULMEUS (DIRECTOR/OWNER)
(239) 872-0718
Entity
Organization
Contact information
Practice address
4310 14TH ST SW, LEHIGH ACRES, FL 33976-2731
(239) 674-7051
Mailing address
4310 14TH ST SW, LEHIGH ACRES, FL 33976-2731
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
001926400
FL
251G00000X
Community Based Hospice Care Agency
Primary
089390
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001302600
—
FL
05
—
001925800
—
FL
05
—
001926400
—
FL
Enumeration date
09/13/2010
Last updated
09/13/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up