Provider Demographics
NPI:1083334312
Name:ENLIGHTENMENT TO ADORNMENT LLC
Entity Type:Organization
Organization Name:ENLIGHTENMENT TO ADORNMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:BRANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-403-3827
Mailing Address - Street 1:3021 HARBOR VIEW LN
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-2264
Mailing Address - Country:US
Mailing Address - Phone:407-403-3827
Mailing Address - Fax:689-202-1085
Practice Address - Street 1:3021 HARBOR VIEW LN
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-2264
Practice Address - Country:US
Practice Address - Phone:407-403-3827
Practice Address - Fax:689-202-1085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health