Provider Demographics
NPI:1669079323
Name:HEMO MEDIKA CARE LLC
Entity type:Organization
Organization Name:HEMO MEDIKA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LESKANICOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:239-778-5582
Mailing Address - Street 1:3425 10TH ST N STE 1
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3866
Mailing Address - Country:US
Mailing Address - Phone:239-778-5582
Mailing Address - Fax:239-320-3232
Practice Address - Street 1:3425 10TH ST N STE 1
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-3866
Practice Address - Country:US
Practice Address - Phone:239-778-5582
Practice Address - Fax:239-320-3232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care