Organization
SERVICES ENABLING LIFESTYLE FREEDOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAPHNE M WHEELER (OWNER/CEO)
(937) 232-5852
Entity
Organization
Contact information
Practice address
7411 WATERWAY DR, WAYNESVILLE, OH 45068-8236
(937) 232-5852
Mailing address
7411 WATERWAY DR, WAYNESVILLE, OH 45068-8236
(937) 232-5852
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0249022
—
OH
Enumeration date
12/16/2020
Last updated
12/16/2020
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