Organization
MIDWAY GROUP HOME
Active
Other names
DBA
Organization subpart
No
Provider details
NPI number
Authorized official
VAIDWATTEE RAMJIT (PROVIDER)
(352) 216-2266
Entity
Organization
Contact information
Practice address
2 MIDWAY RD, OCALA, FL 34472-9679
(352) 216-2266
Mailing address
2 MIDWAY RD, OCALA, FL 34472-9679
(352) 216-2266
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004959400
—
FL
Enumeration date
02/04/2022
Last updated
02/04/2022
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