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General NPI Number Information
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NPI Number | 1194216127
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Entity Type | Organization
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Legal Business Name | ENDLESS ABILITIES FOR CHILDREN WITH DISABILITIES INC.
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 190 S LB BROWN AVE
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City | BARTOW
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State | FL
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Zip | 33830-4901
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Country | US
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Telephone | 863-205-1624
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Fax | 863-537-6135
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Provider Business Mailing Address
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Address Line | PO BOX 1712
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City | BARTOW
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State | FL
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Zip | 33831-1712
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Country | US
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Telephone | 863-205-1624
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RESHEKA HARRIS
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Credential |
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Telephone | 863-205-1624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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