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Organization
UNCLE GENE'S WAY INC
Active
Organization
UNCLE GENE'S WAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH BRACY III (CEO)
(407) 274-5405
Entity
Organization
Contact information
Practice address
890 E SR 434 STE B, LONGWOOD, FL 32750-5307
(407) 274-5405
Mailing address
PO BOX 692286, ORLANDO, FL 32869-2286
(407) 274-5405
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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