Organization Name: | PELICAN HAVEN,LLC |
NPI Number: | 1093022980 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YVONNE JULMEUS (DIRECTOR/OWNER) |
Mailing Address: | 4310 14th St Sw Lehigh Acres |
State: | FL US |
Postal Code: | 339762731 |
Phone Number: | 2396747051 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2010 |
NPI Last Update Date: | 09/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171W00000X |
License Number: | 001926400 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |