Healthcare Provider Details

I. General information

NPI: 1700479912
Provider Name (Legal Business Name): NURSING EDUCATION TRAINING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2021
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N MILLS AVE STE B
ORLANDO FL
32803-5735
US

IV. Provider business mailing address

401 N MILLS AVE STE B
ORLANDO FL
32803-5735
US

V. Phone/Fax

Practice location:
  • Phone: 407-734-2548
  • Fax: 407-307-2067
Mailing address:
  • Phone: 407-734-2548
  • Fax: 800-484-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. FELICIA MEYERS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: RN
Phone: 407-734-2548