Organization
EDIMAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA REYES (CEO)
(239) 738-8038
Entity
Organization
Contact information
Practice address
42 ABACO ST, LEHIGH ACRES, FL 33936-7111
(239) 738-8038
Mailing address
42 ABACO ST, LEHIGH ACRES, FL 33936-7111
(239) 738-8038
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
770443536
FL
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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