Organization
PWT NURSE CONSULTANTS & HOME SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS WRIGHT TYSON (ADMINISISTRATOR)
(407) 925-7237
Entity
Organization
Contact information
Practice address
7034 MINIPPI DR, ORLANDO, FL 32818-3345
(407) 925-7237
(407) 925-7237
Mailing address
1746 E SILVER STAR RD STE 107, OCOEE, FL 34761-7014
(407) 925-7237
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015366700
—
FL
Enumeration date
04/11/2018
Last updated
04/11/2018
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