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The Wallis Agency, Inc.
Home Health Agency in Daytona Beach, Florida
NPI 1508814088

The Wallis Agency, Inc. is a Home Health Agency based in Daytona Beach, FL. The Wallis Agency, Inc. practices in Daytona Beach, FL. The NPI Number for The Wallis Agency, Inc. is 1508814088 and holds a License No. 21282296 (Florida).

The current practice location address for The Wallis Agency, Inc. is 1184 Pelican Bay Dr, Daytona Beach, FL and can be reached out via phone at 386-676-1118 and via fax at 866-571-9365.

Location: 1184 Pelican Bay Dr, Daytona Beach, FL, 32119-1381
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508814088
Provider Name
The Wallis Agency, Inc.
Credential
Provider Entity Type
Organization
Address
1184 Pelican Bay Dr, Daytona Beach, FL, 32119-1381
Phone Number
386-676-1118
Fax Number
866-571-9365
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21280096 01 FL FL LICENSE #
institution
Provider Business Practice Location Address Details
Address
1184 Pelican Bay Dr
City
Daytona Beach
State
Florida
Zip
32119-1381
Phone Number
386-676-1118
Fax Number
866-571-9365
person
Provider Business Mailing Address Details
Address
1184 Pelican Bay Dr
City
Daytona Beach
State
Florida
Zip
32119-1381
Phone Number
386-676-1118
Fax Number
866-571-9365
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
21282296 (Florida)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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