Organization
HOME AWAY FROM HOME FAMILY CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELECIA CALLUM TYEHIMBA (CEO / ADMINISTRATOR)
(239) 245-1697
Entity
Organization
Contact information
Practice address
4625 LEE BLVD, LEHIGH ACRES, FL 33971-1620
(239) 245-1697
Mailing address
4625 LEE BLVD, LEHIGH ACRES, FL 33971-1620
(239) 245-1697
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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