RAWLINS MED-WAIVER PROVIDER AGENCY
Agencies at Cecina Way, Kissimmee, FL

License number
Florida 690683496
Category
Agencies
Type
Home Health
Owner
Name: DUANE A RAWLINS
Title: DIRECTOR
Phone: (352) 871-4613
Address
Address
640 Cecina Way APT A, Kissimmee, FL 34741
National Provider ID: 1104080142
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about RAWLINS MED-WAIVER PROVIDER AGENCY at bizstanding.com

RAWLINS MED-WAIVER PROVIDER AGENCY, INC

Kissimmee, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Aug 9, 2006
Inactive since:
Sep 16, 2013
Addresses:
680 Cecina Way APT F, Kissimmee, FL 34741 (Physical)
725 Cockatoo Ct, Kissimmee, FL 34759
640 Cecina Way, Kissimmee, FL 34741
PO Box 422083, Kissimmee, FL 34742
Po 422083, Kissimmee, FL 34741
State ID:
P06000104055
Business type:
Florida Profit Corporation
CEO, Chairman:
Duane A Rawlins (CEO, Chairman), 680 Cecina Way APT F, Kissimmee, FL 34741 (Physical)
Agent:
Duane Rawlins,680 Cecina Way APT F, Kissimmee, FL 34741 (Physical)
EIN:
204834480

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