Healthcare Provider Details

I. General information

NPI: 1073181392
Provider Name (Legal Business Name): BED BATH & YAWN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 06/14/2021
Certification Date: 06/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 CONDOR RD UNIT 1
ORLANDO FL
32835-1440
US

IV. Provider business mailing address

122 CONDOR RD UNIT 1
ORLANDO FL
32835-1440
US

V. Phone/Fax

Practice location:
  • Phone: 407-271-6281
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KIM BROWN
Title or Position: OWNER/ EMPLOYEE
Credential: LPN
Phone: 407-271-6281