Individual provider · Type 1 NPI
Melecia Callum-Tyehimba
Adult Care Home Facility · Fort Myers, FL
NPI number
1104736958
Active
Practice location
817 Rocaille Ave
Fort Myers, FL 33913-2401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 3456 (FL) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Fort Myers
About NPI 1104736958
Melecia Callum-Tyehimba's National Provider Identifier is 1104736958, issued on Sep 11, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Fort Myers, FL. The record was last updated on Sep 21, 2026.