Organization
DIRECT CARE HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA J WUNDERLICH (ADMINISTRATOR)
(239) 337-9940
Entity
Organization
Contact information
Practice address
1361 ROYAL PALM SQUARE BLVD STE 3, FORT MYERS, FL 33919-1009
(239) 337-9940
(239) 337-9941
Mailing address
1361 ROYAL PALM SQUARE BLVD STE 3, FORT MYERS, FL 33919-1009
(239) 337-9940
(239) 337-9941
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299992622
STATE LICENSE
FL
Enumeration date
01/17/2007
Last updated
03/30/2011
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