Healthcare Provider Details

I. General information

NPI: 1174779813
Provider Name (Legal Business Name): A CARING CONNEXTION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2008
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2729 DORADO CT
APOPKA FL
32703-5959
US

IV. Provider business mailing address

2729 DORADO CT
APOPKA FL
32703-5959
US

V. Phone/Fax

Practice location:
  • Phone: 321-377-8809
  • Fax: 407-951-7738
Mailing address:
  • Phone: 321-377-8809
  • Fax: 407-951-7738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number230698
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number230698
License Number StateFL

VIII. Authorized Official

Name: MS. KEYA NICOLE BRANDON
Title or Position: PRESIDENT
Credential: MA
Phone: 321-377-8809