Organization · NPI-2
Wyld Oak Care And Support INC.
Home Health Aide · Ocoee, FL
NPI number1306779509
StatusActive
Last updated in NPPESJun 18, 2026
Details
- NPI
- 1306779509
- Entity type
- Organization (NPI-2)
- Legal business name
- Wyld Oak Care And Support INC.
- Organization subpart
- No
- Enumeration date
- Jun 5, 2026
- Certification date
- Jun 18, 2026
- Last updated
- Jun 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 385H00000X | Respite Care | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 251E00000X | Home Health | – | – |
Practice location
3460 Bromfield DrOcoee, FL 34761-5105
Phone 407-340-2137
Mailing address
3460 Bromfield DrOcoee, FL 34761-5105
Phone 407-340-2137
Authorized official
Courneasha Williams
Owner
4073402137
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