Provider Demographics
NPI:1972748887
Name:DEBILINI INC.
Entity type:Organization
Organization Name:DEBILINI INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALDECKER
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:813-752-0008
Mailing Address - Street 1:3830 SUN CITY CENTER BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33573-6820
Mailing Address - Country:US
Mailing Address - Phone:813-752-0008
Mailing Address - Fax:813-634-7105
Practice Address - Street 1:3830 SUN CITY CENTER BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33573-6820
Practice Address - Country:US
Practice Address - Phone:813-752-0008
Practice Address - Fax:813-634-7105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211328253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care