Leatrice Heidelberg

NPI #1407617053 in Lehigh Acres, Florida

Provider Information

NPI Number: 1407617053
Entity Type: Individual
Name: Leatrice Heidelberg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 22, 2024
Last Updated: Jan 25, 2024

Practice Location

Address: 501 MICHAEL AVE
City: Lehigh Acres
State: Florida
ZIP Code: 33936-1043
Phone: (239) 645-8297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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