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Organization
REDEFINING ABILITIES LLC
Active
Organization
REDEFINING ABILITIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ALAN ANDERSON (PRESIDENT)
(352) 460-6093
Entity
Organization
Contact information
Practice address
55 BLUFF LAKE RD, MASCOTTE, FL 34753-9536
(352) 460-6093
Mailing address
15508 WILLET CT, MASCOTTE, FL 34753-9102
(352) 460-6093
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
NULL
372600000X
Adult Companion
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
NULL
373H00000X
Day Training/Habilitation Specialist
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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