MEDICARE: THREE WORKING WOMEN, LLC

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	NR30211070	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972737161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THREE WORKING WOMEN, LLC

Provider Business Mailing Address
First Line	:	4300 FORD ST
Second Line	:	SUITE 106
City	:	FORT MYERS
State	:	FL
Zip	:	33916-9317
Country	:	US
Telephone Number	:	239-277-7188
Fax Number	:	239-277-9477

Provider Business Practice Location Address
First Line	:	4300 FORD ST
Second Line	:	SUITE 106
City	:	FORT MYERS
State	:	FL
Zip	:	33916-9317
Country	:	US
Telephone Number	:	239-277-7188
Fax Number	:	239-277-9477

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. EDWARD M TOSTON
Credential	:
Telephone Number	:	239-277-7188

Provider Enumeration Date	:	05/04/2009
Last Update Date	:	12/16/2013

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Directions to “THREE WORKING WOMEN, LLC ” Practice Location

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