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Organization
ENVISAGE ABUNDANCE, INC.
Active
Organization
ENVISAGE ABUNDANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERTRAM ANDREWS-POWLEY III (CEO AND FOUNDER)
(813) 516-6276
Entity
Organization
Contact information
Practice address
1417 TAMPA PARK PLAZA ST, TAMPA, FL 33605-4821
(813) 516-6276
Mailing address
PO BOX 310328, TAMPA, FL 33680-0328
(813) 516-6276
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
07/17/2011
Last updated
07/17/2011
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