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General NPI Number Information
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NPI Number | 1013704063
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS RESPITE CARE AGENCY LLC
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 700 S 11TH ST APT 53
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City | LAKE WALES
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State | FL
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Zip | 33853-4980
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Country | US
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Telephone | 863-242-7120
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Fax |
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Provider Business Mailing Address
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Address Line | 700 S 11TH ST APT 53
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City | LAKE WALES
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State | FL
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Zip | 33853-4980
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Country | US
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Telephone | 863-242-7120
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHANTERIA V HOLLOWAY
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Credential |
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Telephone | 863-242-7120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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