# 3D PROVIDERS CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427206481
- **Authorized official:** DONNA DELBENE (PRESIDENT)
- **Authorized official phone:** (386) 752-0024

## Contact information

- **Practice address:** 144 SW WATERFORD CT, SUITE 101, LAKE CITY, FL 32025-0767
- **Practice address phone:** (386) 752-0024
- **Mailing address:** 111 SW SABRE AVE, LAKE CITY, FL 32024-0923
- **Mailing address phone:** (386) 755-3465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | 1370 | FL | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 376J00000X | Homemaker | — | FL | — |
| 385H00000X | Respite Care | — | NULL | Yes |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 10/23/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1370 | HEALTH CARE SERVICES POOL | FL |
| 01 | — | 232905 | HOMEMAKER & COMPANION /AHCA | FL |
| 01 | — | 679482301 | ELDER OPTIONS | FL |
| 01 | — | 679482396 | MEDICAID-WAIVER | FL |
| 01 | — | 679482398 | FLORIDA SUPPORTED LIVING WAIVER | FL |