Organization
PS PROVIDING SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLANA BARNES (ONWER/OPERATOR)
(239) 689-3695
Entity
Organization
Contact information
Practice address
381 MELODY CT, FORT MYERS, FL 33916-1055
(239) 689-3695
Mailing address
381 MELODY CT, FORT MYERS, FL 33916-1055
(239) 689-3695
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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