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NPI Code Detail

MEDICARE: C INDIVIDUALS TRANSITION TO WORK

MEDICARE: C INDIVIDUALS TRANSITION TO WORK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1891317046
Entity Type Code : Organization
Provider Name (Legal Business Name) : C INDIVIDUALS TRANSITION TO WORK
Provider Business Mailing Address
First Line : 6378 EMERALD DUNES DR APT 204
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-2759
Country : US
Telephone Number : 561-603-0431
Fax Number :
Provider Business Practice Location Address
First Line : 6378 EMERALD DUNES DR APT 204
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-2759
Country : US
Telephone Number : 561-603-0431
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : CHERYEL EDNEY
Credential :
Telephone Number : 561-603-0431
Provider Enumeration Date : 05/11/2020
Last Update Date : 05/11/2020

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Directions to “C INDIVIDUALS TRANSITION TO WORK ” Practice Location

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