Provider Demographics
NPI:1811793201
Name:WOUND CARE EDUCATION CENTRAL LLC
Entity type:Organization
Organization Name:WOUND CARE EDUCATION CENTRAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:AUXILIADORA
Authorized Official - Last Name:PAINTER
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, AGNP, WSOC
Authorized Official - Phone:616-309-3153
Mailing Address - Street 1:132 V MATT WILLIAMS BLVD
Mailing Address - Street 2:
Mailing Address - City:POLK CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33868-9273
Mailing Address - Country:US
Mailing Address - Phone:616-309-3153
Mailing Address - Fax:
Practice Address - Street 1:132 V MATT WILLIAMS BLVD
Practice Address - Street 2:
Practice Address - City:POLK CITY
Practice Address - State:FL
Practice Address - Zip Code:33868-9273
Practice Address - Country:US
Practice Address - Phone:616-309-3153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No251V00000XAgenciesVoluntary or Charitable
No305S00000XManaged Care OrganizationsPoint of Service
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies