MEDICARE: WORD FOR THE WEEK, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912160524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORD FOR THE WEEK, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1776
Second Line	:
City	:	SEFFNER
State	:	FL
Zip	:	33583-1776
Country	:	US
Telephone Number	:	813-752-4907
Fax Number	:	813-567-1229

Provider Business Practice Location Address
First Line	:	4656 COPPER LANE
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33566
Country	:	US
Telephone Number	:	813-752-4907
Fax Number	:	813-567-1229

Authorized Official
Title or Position	:	MANAGING AGENT
Name	:	GERALD WAYNE JACKSON
Credential	:
Telephone Number	:	813-752-4907

Provider Enumeration Date	:	07/03/2008
Last Update Date	:	07/03/2008

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Directions to “WORD FOR THE WEEK, LLC ” Practice Location

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