Healthcare Provider Details

I. General information

NPI: 1558277343
Provider Name (Legal Business Name): MEI LAN HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 DEMOREST AVE S
LEHIGH ACRES FL
33974-4812
US

IV. Provider business mailing address

808 DEMOREST AVE S
LEHIGH ACRES FL
33974-4812
US

V. Phone/Fax

Practice location:
  • Phone: 239-295-9477
  • Fax:
Mailing address:
  • Phone: 239-295-9477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MEI LAN ULLOA ULLOA
Title or Position: OWNER
Credential:
Phone: 239-295-9477