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Organization
WAVECARE HEALTH SERVICES, LLC
Active
Organization
WAVECARE HEALTH SERVICES, LLC
Active
Parent organization
SUB PART
Other names
WaveCare Healthcare services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUB PART
Authorized official
MRS. WAVENEY ALBERTHA BLACKMAN (CEO/PRESIDENT)
(301) 237-1141
Entity
Organization
Contact information
Practice address
1353 OAKFIELD DR, BRANDON, FL 33511-4823
(301) 237-1141
(202) 388-9558
Mailing address
1353 OAKFIELD DR, BRANDON, FL 33511-4823
(813) 699-3405
(813) 699-3406
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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