Provider Demographics
NPI:1588729347
Name:MAL-LYN ENTERPRISES INC
Entity type:Organization
Organization Name:MAL-LYN ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN, C
Authorized Official - Phone:407-294-5004
Mailing Address - Street 1:5320 EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-5251
Mailing Address - Country:US
Mailing Address - Phone:407-294-5004
Mailing Address - Fax:407-294-0988
Practice Address - Street 1:5320 EDGEWATER DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-5251
Practice Address - Country:US
Practice Address - Phone:407-294-5004
Practice Address - Fax:407-294-0988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991367251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health