Individual provider · Type 1 NPI

Leatrice Heidelberg

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lehigh Acres, FL

NPI number 1407617053 Active

Practice location

501 Michael Ave
Lehigh Acres, FL 33936-1043

Call (239) 645-8297 Map

Mailing address

400 Mckinley Ave
Lehigh Acres, FL 33972-7684

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1407617053

Leatrice Heidelberg's National Provider Identifier is 1407617053, issued on Jan 22, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lehigh Acres, FL. The record was last updated on Jan 25, 2024.