Individual
LEATRICE HEIDELBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MICHAEL AVE, LEHIGH ACRES, FL 33936-1043
(239) 645-8297
Mailing address
400 MCKINLEY AVE, LEHIGH ACRES, FL 33972-7684
(239) 645-8297
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
01/22/2024
Last updated
01/25/2024
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