Mike & Wendy LLC
Day Training/Habilitation Specialist in Baxter, TN. Organization (NPI-2).
NPI number1104580281
StatusActive
Last updated in NPPESOct 26, 2021
Details
- NPI
- 1104580281
- Entity type
- Organization (NPI-2)
- Legal business name
- Mike & Wendy LLC
- Organization subpart
- No
- Enumeration date
- Oct 26, 2021
- Certification date
- Oct 26, 2021
- Last updated
- Oct 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Other names
- Family'S Choice (Doing Business As)
Practice location
7021 Burgess Falls RdBaxter, TN 38544-5327
Phone 931-214-1836
Mailing address
7021 Burgess Falls RdBaxter, TN 38544-5327
Phone 931-214-1836
Authorized official
Michael Anderson
Coo
9312615386
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