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Organization
BETELGEUSE, INC
Active
Organization
BETELGEUSE, INC
Active
Other names
Heartland Speech Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEAH RACHELLE PACE-AUBREY CCC/SLP (SPEECH LANGUGE PATHOLOGIST/OWNER)
(863) 381-4276
Entity
Organization
Contact information
Practice address
211 N FRANKLIN ST, SEBRING, FL 33870-3124
(863) 381-4276
Mailing address
PO BOX 1586, SEBRING, FL 33871-1586
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889022600
—
FL
01
—
S2368
BCBS
FL
Enumeration date
08/09/2006
Last updated
12/01/2010
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