Organization
ADDAX HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLY A WALLACE (PRESIDENT)
(239) 878-0208
Entity
Organization
Contact information
Practice address
3820 COLONIAL BLVD STE 103, FORT MYERS, FL 33966-1094
(239) 878-0208
Mailing address
3820 COLONIAL BLVD STE 103, FORT MYERS, FL 33966-1094
(239) 878-0208
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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