MEDICARE: WOUND CARE EDUCATION CENTRAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251V00000X	Voluntary or Charitable Agency
3	305S00000X	Point of Service
4	332B00000X	Durable Medical Equipment & Medical Supplies
5	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1811793201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOUND CARE EDUCATION CENTRAL LLC

Provider Business Mailing Address
First Line	:	132 V MATT WILLIAMS BLVD
Second Line	:
City	:	POLK CITY
State	:	FL
Zip	:	33868-9273
Country	:	US
Telephone Number	:	616-309-3153
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 V MATT WILLIAMS BLVD
Second Line	:
City	:	POLK CITY
State	:	FL
Zip	:	33868-9273
Country	:	US
Telephone Number	:	616-309-3153
Fax Number	:

Authorized Official
Title or Position	:	CEO, CFO
Name	:	DR. MARIA AUXILIADORA PAINTER
Credential	:	DNP, AGNP, WSOC
Telephone Number	:	616-309-3153

Provider Enumeration Date	:	02/25/2025
Last Update Date	:	02/25/2025

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