Individual
MS. CARLEATHER ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
376 FAIRVIEW AVE, FORT MYERS, FL 33905-2852
(239) 204-1716
Mailing address
PO BOX 1264, FORT MYERS, FL 33902-1264
(239) 204-1716
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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