MEDICARE: EYPR OME HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	235005	FL

General Provider Information

NPI Number	:	1083131239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYPR OME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	PO BOX 51331
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33994-1331
Country	:	US
Telephone Number	:	239-887-3114
Fax Number	:

Provider Business Practice Location Address
First Line	:	9850 BERNWOOD PLACE DR APT 109
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33966-6904
Country	:	US
Telephone Number	:	239-887-3114
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MISS ENID Y PEREZ RIVERA
Credential	:
Telephone Number	:	239-887-3114

Provider Enumeration Date	:	08/28/2017
Last Update Date	:	06/20/2018

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