The Wallis Agency, Inc. in Daytona Beach - Home Health
The Wallis Agency, Inc. - NPI 1508814088
The Wallis Agency, Inc. is a Home Health in Daytona Beach, Florida. The Wallis Agency, Inc. practices all healthcare services and medical treatments related to Home Health. The NPI Number for The Wallis Agency, Inc. is 1508814088. The last update date is 2016-11-25.
The Wallis Agency, Inc.'s current location address is 1184 Pelican Bay Dr, Daytona Beach, Florida. You can contact this provider via phone number 3866761118 and fax number 8665719365. The mailing address for The Wallis Agency, Inc. is 1184 Pelican Bay Dr, Daytona Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Wallis Agency, Inc. |
|---|---|
| Address | 1184 Pelican Bay Dr, Daytona Beach, Florida |
| Phone Number | 3866761118 |
| Fax Number | 8665719365 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Mcgrew Margaret Colleen |
| Credentials | R.N., B.S. |
| Telephone Number | 3866761118 |
NPI Number Detail
| NPI Number | 1508814088 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2016-11-25 |
Provider Mailing Address Detail
| Address | 1184 Pelican Bay Dr |
|---|---|
| City | Daytona Beach |
| State | Florida (FL) |
| Post Code | 321191381 |
| Phone Number | 3866761118 |
| Fax Number | 8665719365 |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
| Licence No | 21282296 |
|
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, |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21280096 | FL | FL LICENSE # |
Post Comment/ Review Below
What is the The Wallis Agency, Inc.'s 1508814088?
The The Wallis Agency, Inc.'s NPI (National Provider Identifier) Number is 1508814088. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of The Wallis Agency, Inc.?
The The Wallis Agency, Inc. is physically situated at 1184 Pelican Bay Dr, in the city of Daytona Beach, state of FL, with the postal code 321191381.
What is the The Wallis Agency, Inc.'s specialty and taxonomy code?
The The Wallis Agency, Inc.'s specialty is Home Health, and the corresponding taxonomy code is 251E00000X.
On what date did the The Wallis Agency, Inc. receive its 1508814088 assignment from the Centers for Medicare & Medicaid Services?
The The Wallis Agency, Inc. was assigned its 1508814088 by the Centers for Medicare & Medicaid Services on 2006-05-05.
As of what date was the information regarding The Wallis Agency, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to The Wallis Agency, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-11-25.
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