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Organization
PREDESTINED 4 PURPOSE INC
Active
Organization
PREDESTINED 4 PURPOSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BOBBIE COOK (OWNER)
(407) 285-1249
Entity
Organization
Contact information
Practice address
6826 GADWALL LANE, ORLANDO, FL 32810
(407) 285-1249
(321) 424-5886
Mailing address
6826 GADWALL LANE, ORLANDO, FL 32810
(407) 285-1249
(321) 424-5886
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
234231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693730696
—
FL
Enumeration date
06/07/2016
Last updated
06/07/2016
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