| Prime Healthcare Services-lehigh Acres Llc | |
|
1500 Lee Blvd Lehigh Acres FL 33936-4835 | |
| (239) 369-2101 | |
| Not Available |
| Full Name | Prime Healthcare Services-lehigh Acres Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1500 Lee Blvd, Lehigh Acres, Florida |
| Authorized Official Name and Position | Christopher Doan (LEGAL COUNSEL) |
| Authorized Official Contact | 3102594706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare Services-lehigh Acres Llc 1500 Lee Blvd Lehigh Acres FL 33936-4835 Ph: (239) 369-2101 | Prime Healthcare Services-lehigh Acres Llc 1500 Lee Blvd Lehigh Acres FL 33936-4835 Ph: (239) 369-2101 |
| NPI Number | 1922563485 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 02/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922563485 | NPI | - | NPPES |
| 010111700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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