Organization
BONDING WINGS COMPANION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEIKA SHALONDA ROWE (ADMINISTRATOR)
(407) 734-4081
Entity
Organization
Contact information
Practice address
5323 MILLENIA LAKES BLVD STE 300, ORLANDO, FL 32839-3395
(407) 734-4081
Mailing address
5323 MILLENIA LAKES BLVD STE 300, ORLANDO, FL 32839-3395
(407) 734-4081
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017611700
—
FL
01
—
234338
HOMEMAKER AND COMPANION LICENSE NUMBER
FL
Enumeration date
06/01/2016
Last updated
11/08/2021
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