# EMPOWERED COMMUNITY LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326516709
- **Authorized official:** TIMIKA MARIE WASHINGTON (OWNER)
- **Authorized official phone:** (321) 616-6181

## Contact information

- **Practice address:** 1501 ROBERT J CONLAN BLVD NE STE 110, PALM BAY, FL 32905-3560
- **Practice address phone:** (321) 499-3265
- **Mailing address:** 1501 ROBERT J CONLAN BLVD NE STE 110, PALM BAY, FL 32905-3560
- **Mailing address phone:** (321) 499-3265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/05/2018
- **Last updated:** 09/16/2021