Mike & Wendy LLC

NPI #1104580281 in Baxter, Tennessee

Provider Information

NPI Number
1104580281
Entity Type
Organization
Organization Name
Mike & Wendy LLC
Primary Specialty
Day Training/Habilitation Specialist
Enumeration Date
Oct 26, 2021
Last Updated
Oct 26, 2021

Practice Location

Address
7021 BURGESS FALLS RD
City
Baxter
ZIP Code
38544-5327
Phone
(931) 214-1836

Authorized Official

Name
MR. MICHAEL ANDERSON
Title
COO
Phone
(931) 261-5386

Specialties & Taxonomy Codes

Specialty
Day Training/Habilitation Specialist

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