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10D2067671 CLIA NUMBER - ALL HEART HOME HEALTH CARE INC

Laboratory Demographics

CLIA Number: 10D2067671

Facility Name: ALL HEART HOME HEALTH CARE INC

Facility Address:
12734 KENWOOD LANE STE 69
FORT MYERS, FL
ZIP 33907
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Facility Phone Number: 239 204-4941

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1558601559

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 10D2067671
LAB Type Home Health Agency
Facility Name ALL HEART HOME HEALTH CARE INC
Street 12734 KENWOOD LANE STE 69
City FORT MYERS
State FL
ZIP 33907
Phone 239 204-4941
CertificateType 4
CertificateEffectiveDate 10/21/2023
CertificateExpirationDate 10/20/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024