Provider Demographics
NPI:1407746506
Name:VACCIS D&G GROUP HOME INC. TRANSPORATION
Entity type:Organization
Organization Name:VACCIS D&G GROUP HOME INC. TRANSPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLADIS
Authorized Official - Middle Name:
Authorized Official - Last Name:VACCIANNA
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:863-860-5699
Mailing Address - Street 1:124 HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-9609
Mailing Address - Country:US
Mailing Address - Phone:863-860-5699
Mailing Address - Fax:863-323-2402
Practice Address - Street 1:124 HARBOR DR
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-9609
Practice Address - Country:US
Practice Address - Phone:863-860-5699
Practice Address - Fax:863-860-5699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)