Individual
MICHEL ANGE FAYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME CARE AGENCY
Contact information
Practice address
7795 DAVIS BLVD STE 202B, NAPLES, FL 34104-5372
(239) 601-8044
Mailing address
7795 DAVIS BLVD STE 202B, NAPLES, FL 34104-5372
(239) 601-8044
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
922651573
HOME CARE
FL
Enumeration date
03/10/2023
Last updated
03/10/2023
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