Organization
FIVE STAR HOMECARE LLC
Active
Other names
FIVE STAR HOMECARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
YIMY L RODRIGUEZ FUENTES (ADMINISTRATOR)
(239) 258-0603
Entity
Organization
Contact information
Practice address
629 SE 10TH PL, CAPE CORAL, FL 33990
(239) 258-0603
Mailing address
629 SE 10TH PL, CAPE CORAL, FL 33990-2942
(239) 258-0603
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/05/2018
Last updated
07/12/2018
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