# GWENANDREWS HOME OF SUCCESS AGENCY, INC.

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

## Provider details

- **NPI number:** 1346676848
- **Authorized official:** MRS. EREKA ANDREWS REDDICK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (850) 875-0075

## Contact information

- **Practice address:** 116 N MADISON ST, QUINCY, FL 32351-2411
- **Practice address phone:** (850) 875-0075
- **Practice address fax:** (850) 627-2614
- **Mailing address:** 116 N MADISON ST, QUINCY, FL 32351-2411
- **Mailing address phone:** (850) 875-0075
- **Mailing address fax:** (850) 627-2614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 691333496 | FL | Yes |

## Other

- **Enumeration date:** 09/17/2013
- **Last updated:** 09/17/2013