Healthcare Provider Details

I. General information

NPI: 1730883109
Provider Name (Legal Business Name): ALL THINGS ARE POSSIBLE SUPPORTIVE LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 03/29/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1816 LOCKHAVEN CT
LEHIGH ACRES FL
33972
US

IV. Provider business mailing address

P.O. BOX 217
LEHIGH ACRES FL
33970
US

V. Phone/Fax

Practice location:
  • Phone: 239-703-2064
  • Fax:
Mailing address:
  • Phone: 239-955-3758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDADRELL GAYLE
Title or Position: DIRECTOR MANAGER
Credential: RCSWL
Phone: 239-703-2064