Provider Demographics
NPI:1376102244
Name:ABLE HEALTHCARE SERVICES OF LEE, INC.
Entity Type:Organization
Organization Name:ABLE HEALTHCARE SERVICES OF LEE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:TUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-826-6267
Mailing Address - Street 1:6226 PRESIDENTIAL CT STE A
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-3521
Mailing Address - Country:US
Mailing Address - Phone:239-437-2434
Mailing Address - Fax:239-437-2437
Practice Address - Street 1:6226 PRESIDENTIAL CT STE A
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-3521
Practice Address - Country:US
Practice Address - Phone:239-437-2434
Practice Address - Fax:239-437-2437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AHS6226AOtherFLORIDA