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WINGS OF LIFE MOBILE LLC
NPI 1356896708
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fruitland, MD

Active since August 15, 2016
202 HOLLY ST, FRUITLAND, MD 21826(410) 726-6573 Get Directions Write a Review

NPPES record last updated: September 13, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 13, 2019, Sep 13, 2016, Aug 22, 2016 and 1 more (4 updates tracked since 2016).

About Wings Of Life Mobile Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WINGS OF LIFE MOBILE LLC (NPI 1356896708) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fruitland, Maryland and active in the NPI registry since August 2016. The organization lists Zandra E Cephas, Nationally Certified Phlebotomist, as its authorized official.

NPPES Registry Identity

NPI1356896708
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameWINGS OF LIFE MOBILE LLC
Location Address202 HOLLY STFruitland, MD 21826-2005
Mailing Address202 Holly StFruitland, MD 21826-2005 · (410) 726-6573 · Fax (410) 572-4143
Phone(410) 726-6573
Organization SubpartNo
Authorized OfficialZandra E CephasNationally Certified Phlebotomist · (410) 726-6573
Enumeration DateAugust 15, 2016
Last NPPES UpdateSeptember 13, 20194 updates tracked since enumeration
✔ NPI 1356896708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in MD · 681104140001
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedTechnician, Pathology · PhlebotomyTaxonomy 246RP1900X
Also ListedHome HealthTaxonomy 251E00000X
202 HOLLY ST, Fruitland, MD 21826
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZANDRA E. CEPHAS ASPT,CPT
Technician/Technologist
202 HOLLY ST
FRUITLAND, MD 21826
Wicomico County (410) 726-6573

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wings Of Life Mobile LLC's NPI number?

The NPI number for Wings Of Life Mobile LLC is 1356896708. It was assigned to this organization in the NPPES registry on August 15, 2016.

Where is Wings Of Life Mobile LLC located?

Wings Of Life Mobile LLC is located at 202 Holly St, Fruitland, MD 21826. The listed phone number is (410) 726-6573.

What is Wings Of Life Mobile LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Wings Of Life Mobile LLC was last updated on September 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.