Barbara Ann Wade
Individual provider Active NPI Foster Care Agency · Dover, FL
NPI 1861667792 · NPPES record last updated Apr 22, 2008
Key facts
- NPI
- 1861667792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foster Care Agency 253J00000X
- Practice address
- 3105 S Forbes Rd
Dover, FL 33527-5414 - Phone
- (813) 754-1855
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | Yes |
Addresses
Primary practice location
3105 S Forbes Rd
Dover, FL 33527-5414
Mailing address
3105 S Forbes Rd
Dover, FL 33527-5414
Phone (813) 754-1855
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230082600 | Medicaid | FL |
Other providers in Dover, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.