Provider Demographics
NPI:1952887242
Name:LEE COUNTY CARE SERVICES INC
Entity Type:Organization
Organization Name:LEE COUNTY CARE SERVICES INC
Other - Org Name:HOME HELPERS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:AGRUSTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-347-9187
Mailing Address - Street 1:PO BOX 150848
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33915-0848
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4637 VINCENNES BLVD STE 3
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9109
Practice Address - Country:US
Practice Address - Phone:239-347-9187
Practice Address - Fax:239-558-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-19
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health