Organization
BIDWELL SERVICE CARE LLC
Active
Other names
Home Instead Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE BIDWELL (MANAGING MEMBER)
(239) 226-0007
Entity
Organization
Contact information
Practice address
16520 S TAMIAMI TRL, SUITE241, FORT MYERS, FL 33908-4569
(239) 226-0007
(239) 226-0022
Mailing address
16520 S TAMIAMI TRL, SUITE241, FORT MYERS, FL 33908-4569
(239) 226-0007
(239) 226-0022
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
299993091
FL
253Z00000X
In Home Supportive Care Agency
Primary
228825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685223800
—
FL
Enumeration date
12/02/2010
Last updated
12/02/2010
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