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Organization

DAVIDS HOLISTIC CARE CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID WADE (OWNER)
(407) 990-6333
Entity
Organization

Contact information

Practice address
4623 EBONY ST, ORLANDO, FL 32811-3823
(407) 990-6333
(321) 206-4502
Mailing address
4623 EBONY ST, ORLANDO, FL 32811-3823
(407) 990-6333
(321) 206-4502

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
311ZA0620X
Adult Care Home Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007902900
FL
05
007902901
FL
05
232909
FL
Enumeration date
12/26/2014
Last updated
09/28/2015
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