Organization
CARECOMMUNITY INC.
Active
Other names
CareCommunity HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMEON N BONNER (CEO/DIRECTOR)
(239) 989-7474
Entity
Organization
Contact information
Practice address
4066 EVANS AVE, SUITE 18, FORT MYERS, FL 33901-9384
(239) 989-7474
Mailing address
4066 EVANS AVE, STE #4, FORT MYERS, FL 33901-9384
(239) 989-7474
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
FL
253Z00000X
In Home Supportive Care Agency
Primary
233813
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
FL
343900000X
Non-emergency Medical Transport (VAN)
233813
FL
385H00000X
Respite Care
—
FL
Other
Enumeration date
07/02/2015
Last updated
07/13/2015
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