Healthcare Provider Details

I. General information

NPI: 1689027229
Provider Name (Legal Business Name): EMILY'S CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2016
Last Update Date: 07/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5177 CINDERLANE PKWY APT 702
ORLANDO FL
32808-0920
US

IV. Provider business mailing address

5177 CINDERLANE PKWY APT 702
ORLANDO FL
32808-0920
US

V. Phone/Fax

Practice location:
  • Phone: 407-242-3860
  • Fax:
Mailing address:
  • Phone: 407-242-3860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: STACY HELRETIRIA EHIGIATO
Title or Position: CEO
Credential:
Phone: 407-242-3860