Healthcare Provider Details

I. General information

NPI: 1922932789
Provider Name (Legal Business Name): SOUBLET HOME HEALTH AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3949 EVANS AVE STE 402
FORT MYERS FL
33901-9345
US

IV. Provider business mailing address

3949 EVANS AVE STE 402
FORT MYERS FL
33901-9345
US

V. Phone/Fax

Practice location:
  • Phone: 901-235-5107
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YOELKIS FERIA ALVAREZ
Title or Position: CEO
Credential:
Phone: 901-235-5107