Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THE WALLIS AGENCY, INC.
Active
Organization
THE WALLIS AGENCY, INC.
Active
Other names
Onyx Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN MARGARET MCGREW R.N., B.S.N. (PRESIDENT/ADMINISTRATOR)
(386) 676-1118
Entity
Organization
Contact information
Practice address
1184 PELICAN BAY DR, DAYTONA BEACH, FL 32119-1381
(386) 676-1118
(866) 571-9365
Mailing address
1184 PELICAN BAY DR, DAYTONA BEACH, FL 32119-1381
(386) 676-1118
(866) 571-9365
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
21282296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21280096
FL LICENSE #
FL
Enumeration date
05/05/2006
Last updated
11/25/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up