Organization
FAMILY TREE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAWANZA S GREEN (CNA)
(239) 295-1803
Entity
Organization
Contact information
Practice address
3022 GUAVA ST, FORT MYERS, FL 33916
(239) 295-1803
Mailing address
3022 GUAVA ST, FORT MYERS, FL 33916
(239) 295-1803
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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