Provider Demographics
NPI:1225885759
Name:RS WONDER CARE LLC
Entity type:Organization
Organization Name:RS WONDER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROXANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-272-9482
Mailing Address - Street 1:4756 WALDEN CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-7101
Mailing Address - Country:US
Mailing Address - Phone:407-272-9482
Mailing Address - Fax:
Practice Address - Street 1:4756 WALDEN CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-7101
Practice Address - Country:US
Practice Address - Phone:407-272-9482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services