Organization · NPI-2
Bonding Wings Companion Services LLC
In Home Supportive Care · Orlando, FL
NPI number1649628546
StatusActive
Last updated in NPPESNov 8, 2021
Details
- NPI
- 1649628546
- Entity type
- Organization (NPI-2)
- Legal business name
- Bonding Wings Companion Services LLC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2016
- Certification date
- Oct 20, 2021
- Last updated
- Nov 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 372600000X | Adult Companion | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – | |
| 376J00000X | Homemaker | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
5323 Millenia Lakes Blvd Ste 300Orlando, FL 32839-3395
Phone 407-734-4081
Mailing address
5323 Millenia Lakes Blvd Ste 300Orlando, FL 32839-3395
Phone 407-734-4081
Authorized official
Shameika Shalonda Rowe
Administrator
4077344081
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