Provider Demographics
NPI:1659642049
Name:SPIRIT ENTERPRISES
Entity Type:Organization
Organization Name:SPIRIT ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-521-5693
Mailing Address - Street 1:34213 SPIRIT HILLS WAY
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33523-0630
Mailing Address - Country:US
Mailing Address - Phone:352-521-5693
Mailing Address - Fax:
Practice Address - Street 1:34213 SPIRIT HILLS WAY
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33523-0630
Practice Address - Country:US
Practice Address - Phone:352-521-5693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care