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Matilda Chimezie Ike, DR(DNP)
Home Health Agency in Port St Lucie, Florida
NPI 1285492280

Matilda Chimezie Ike is a Home Health Agency based in Port St Lucie, FL. Matilda Chimezie Ike practices in Port St Lucie, FL and has the professional credentials of DR(DNP). The NPI Number for Matilda Chimezie Ike is 1285492280 and holds a License No. 239833 (Florida).

The current practice location address for Matilda Chimezie Ike is 501 Se Nome Dr, Port St Lucie, FL and can be reached out via phone at 754-215-1202.

Location: 501 Se Nome Dr, Port St Lucie, FL, 34984-8945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285492280
Provider Name
Matilda Chimezie Ike
Credential
DR(DNP)
Provider Entity Type
Individual
Gender
Female
Address
501 Se Nome Dr, Port St Lucie, FL, 34984-8945
Phone Number
754-215-1202
Fax Number
Provider Enumeration Date
03/13/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
501 Se Nome Dr
City
Port St Lucie
State
Florida
Zip
34984-8945
Phone Number
754-215-1202
Fax Number
person
Provider Business Mailing Address Details
Address
501 Se Nome Dr
City
Port St Lucie
State
Florida
Zip
34984-8945
Phone Number
754-215-1202
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
239833 (Florida)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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