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A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Phlebotomy |
246RP1900X |
| NPI Number | 1356896708 |
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| LBN Legal business name | WINGS OF LIFE MOBILE LLC | ||||
| Authorized official | ZANDRA CEPHAS - (NATIONALLY CERTIFIED PHLEBOTOMIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/15/2016 | ||||
| Last updated | 09/13/2019 - About 7 years ago | ||||
| Identifiers |
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WINGS OF LIFE MOBILE LLC
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WINGS OF LIFE MOBILE LLC