| Plastic Enterprise, Inc | |
|
4715 Langdale Dr Orlando FL 32808-2081 | |
| (407) 883-4347 | |
| Not Available |
| Full Name | Plastic Enterprise, Inc |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 4715 Langdale Dr, Orlando, Florida |
| Authorized Official Name and Position | Judith Gervais (CEO/ PRESIDENT) |
| Authorized Official Contact | 4078834347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plastic Enterprise, Inc 4715 Langdale Dr Orlando FL 32808-2081 Ph: (407) 883-4347 | Plastic Enterprise, Inc 4715 Langdale Dr Orlando FL 32808-2081 Ph: (407) 883-4347 |
| NPI Number | 1235573262 |
|---|---|
| Provider Enumeration Date | 04/21/2013 |
| Last Update Date | 04/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235573262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
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