Wings Of Love Of Leesburg, Llc in Leesburg - Day Training, Developmentally Disabled Services
Wings Of Love Of Leesburg, Llc - NPI 1346407111
Wings Of Love Of Leesburg, Llc is a Day Training, Developmentally Disabled Services in Leesburg, Florida. Wings Of Love Of Leesburg, Llc practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Wings Of Love Of Leesburg, Llc is 1346407111. The last update date is 2008-05-20.
Wings Of Love Of Leesburg, Llc's current location address is Po Box 491077, Leesburg, Florida. You can contact this provider via phone number 3523600660 and fax number 3523600567. The mailing address for Wings Of Love Of Leesburg, Llc is Po Box 491077, Leesburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wings Of Love Of Leesburg, Llc |
|---|---|
| Address | Po Box 491077, Leesburg, Florida |
| Phone Number | 3523600660 |
| Fax Number | 3523600567 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mitchell Pernell |
| Telephone Number | 3523600660 |
NPI Number Detail
| NPI Number | 1346407111 |
|---|---|
| Provider Enumeration Date | 2008-05-20 |
| Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
| Address | Po Box 491077 |
|---|---|
| City | Leesburg |
| State | Florida (FL) |
| Post Code | 347491077 |
| Phone Number | 3523600660 |
| Fax Number | 3523600567 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
| Licence No | 688587096 |
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Definition: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| F342051880001 | FL | VENDOR NUMBER | |
| 688587098 | FL | FAMILY & SUPPORT LIVING WAIVER | |
| 688587096 | FL | MEDWAIVER PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Wings Of Love Of Leesburg, Llc?
The Wings Of Love Of Leesburg, Llc has been issued the NPI (National Provider Identifier) 1346407111 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Wings Of Love Of Leesburg, Llc's physical address?
The Wings Of Love Of Leesburg, Llc is physically located at Po Box 491077, in the city of Leesburg, FL, with the postal code 347491077.
What is Wings Of Love Of Leesburg, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wings Of Love Of Leesburg, Llc is Day Training, Developmentally Disabled Services, and the taxonomy code that classifies this field of practice is 251C00000X.
On what date was the 1346407111 assigned to Wings Of Love Of Leesburg, Llc?
The Wings Of Love Of Leesburg, Llc was issued its 1346407111 on 2008-05-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Wings Of Love Of Leesburg, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wings Of Love Of Leesburg, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-20.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY