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1578192910 NPI number — LITTLE DEBBIE'S SECOND CHANCE HOMES FLORIDA

NPI Number: 1578192910
Health Care Provider/Practitioner: LITTLE DEBBIE'S SECOND CHANCE HOMES FLORIDA

Information about “1578192910” NPI (LITTLE DEBBIE'S SECOND CHANCE HOMES FLORIDA) exists in 1578192910 in HTML format HTML  |  1578192910 in plain Text format TXT  |  1578192910 in PDF (Portable Document Format) PDF  |  1578192910 in an XML format XML  formats.

NPI Number : 1578192910 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578192910",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LITTLE DEBBIE'S SECOND CHANCE HOMES FLORIDA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4280 MEMORIAL DR STE C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DECATUR",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30032-1216",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-509-9496",
    "MailingAddressFaxNumber": "678-550-6491",
    "FirstLinePracticeLocationAddress": "8379 GASPARILLA RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORT CHARLOTTE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33981-2819",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-509-9496",
    "PracticeLocationAddressFaxNumber": "678-550-6491",
    "EnumerationDate": "04/07/2020",
    "LastUpdateDate": "04/07/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STIGGERS",
    "AuthorizedOfficialFirstName": "LAKISHA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "305-509-9496",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251B00000X",
        "TaxonomyName": "Case Management Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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