# VA CARE WAVE INC

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

## Provider details

- **NPI number:** 1649126343
- **Authorized official:** LADONNA R JACKSON (OWNER)
- **Authorized official phone:** (941) 713-9420

## Contact information

- **Practice address:** 404 10TH AVE W, PALMETTO, FL 34221-5032
- **Practice address phone:** (941) 713-9420
- **Mailing address:** 2013 27TH ST W, BRADENTON, FL 34205-3847
- **Mailing address phone:** (941) 713-9420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2026
- **Last updated:** 03/06/2026