Leatrice Heidelberg
Leatrice Heidelberg is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lehigh Acres, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
501 Michael AveLehigh Acres, FL 33936-1043
Phone: (239) 645-8297
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (FL) |
|---|
Record details
| NPI number | 1407617053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 22, 2024 |
| Last updated in NPPES | January 25, 2024 |
| Certification date | January 25, 2024 |
| Mailing address | 400 McKinley Ave, Lehigh Acres, FL 33972-7684 |
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