Provider Demographics
NPI:1710585120
Name:UNIVERSAL NURSING AND WELLNESS LLC
Entity Type:Organization
Organization Name:UNIVERSAL NURSING AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRESHA
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:941-518-2994
Mailing Address - Street 1:508 SALLY LEE DR
Mailing Address - Street 2:
Mailing Address - City:ELLENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34222-2047
Mailing Address - Country:US
Mailing Address - Phone:941-518-2994
Mailing Address - Fax:
Practice Address - Street 1:508 SALLY LEE DR
Practice Address - Street 2:
Practice Address - City:ELLENTON
Practice Address - State:FL
Practice Address - Zip Code:34222-2047
Practice Address - Country:US
Practice Address - Phone:941-518-2994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care