Healthcare Provider Details

I. General information

NPI: 1972509149
Provider Name (Legal Business Name): A I T HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 07/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6238 PRESIDENTIAL CT 1A
FORT MYERS FL
33919
US

IV. Provider business mailing address

6238 PRESIDENTIAL CT 1A
FORT MYERS FL
33919
US

V. Phone/Fax

Practice location:
  • Phone: 239-337-1064
  • Fax: 239-337-1065
Mailing address:
  • Phone: 239-337-1064
  • Fax: 239-337-1065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: COLLETTA DUNN
Title or Position: CO OWNER
Credential:
Phone: 239-337-1064