Provider Demographics
NPI:1669873105
Name:CAREGIVERS OF SW FLORIDA, INC.
Entity type:Organization
Organization Name:CAREGIVERS OF SW FLORIDA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-949-1070
Mailing Address - Street 1:27657 OLD 41 RD
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-5647
Mailing Address - Country:US
Mailing Address - Phone:239-949-1070
Mailing Address - Fax:239-949-7020
Practice Address - Street 1:27657 OLD 41 RD
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-5647
Practice Address - Country:US
Practice Address - Phone:239-949-1070
Practice Address - Fax:239-949-7020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-15
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992318251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health