Waychangers Services Llc

NPI 1093017055 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1093017055
Enumeration Date 11/24/2010
Last Updated 11/24/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name CLAIBORNE CLAIBORNE
Position EXECUTIVE DIRECTOR
Phone (813) 731-1795
Fax
Practice Location
906 BLACK KNIGHT DR
VALRICO FL, 33594-6604, US
Phone (813) 731-1795
Fax
Business Location
906 BLACK KNIGHT DR
VALRICO FL, 33594-6604, US
Phone
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Florida
License Number MH9398
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According to our database, Waychangers Services Llc NPI is 1093017055, taxonomy code is 251S00000X and license number is MH9398, license state is located at Florida. Waychangers Services Llc physically located at 906 Black Knight Dr, Valrico FL, 33594-6604. NPI Number 1033115704 has the healthcare provider type.

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1093017055 NPI number is provided on an as is basis without warranty of any kind. 1093017055 is maintained by the National Plan & Provider Enumeration System. The contents of Waychangers Services Llc are for informational purposes only.