IndividualActive
David Wade
NPI 1184902157 · Assisted Living Facility (Mental Illness) · Orlando, FL
Provider details
- NPI number
- 1184902157
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
- Adult Companion372600000X
Nursing Service Related Providers
Agencies
Agencies
Nursing Service Related Providers
Practice location
4623 Ebony St
Orlando, FL 32811-3823
Phone: (407) 990-6333
Fax: (321) 206-4502
Approximate (ZIP-level) locationGet directions
Mailing address
4623 Ebony St
Orlando, FL 32811-3823
Registry dates
- Enumerated
- 2011-07-25
- Last updated
- 2016-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.