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Organization
BIRD OF PARADISE @ SUNCOAST
Active
Organization
BIRD OF PARADISE @ SUNCOAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERLINE ALCIDE (DIRECTOR)
(813) 751-9788
Entity
Organization
Contact information
Practice address
10902 WILDCAT DR, RIVERVIEW, FL 33579-7778
(813) 810-7279
Mailing address
10902 WILDCAT DR, RIVERVIEW, FL 33579-7778
(813) 810-7279
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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