Organization
PELICAN HOME CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE JULMEUS (DIRECTOR)
(239) 424-9137
Entity
Organization
Contact information
Practice address
2733 OAK RIDGE CT STE 103, FORT MYERS, FL 33901-9357
(239) 424-9137
Mailing address
2733 OAK RIDGE CT, SUITE 103, FORT MYERS, FL 33901-9357
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
001926400
FL
251E00000X
Home Health Agency
299994666
FL
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
299994666
FL
253Z00000X
In Home Supportive Care Agency
299994666
FL
385H00000X
Respite Care
299994666
FL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
299994666
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001926400
—
FL
05
—
002327600
—
FL
Enumeration date
09/14/2010
Last updated
05/01/2018
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