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Organization
SHADES OF AUTISM PARENT NETWORK, INC.
Active
Organization
SHADES OF AUTISM PARENT NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URRIKKA BIANCA WOODS-SCOTT (EXECUTIVE DIRECTOR)
(904) 209-4876
Entity
Organization
Contact information
Practice address
2736 UNIVERSITY BLVD W STE 5, JACKSONVILLE, FL 32217-2170
(904) 209-4876
Mailing address
6220 ELISE DR, JACKSONVILLE, FL 32211-4709
(904) 209-4876
Taxonomy
Speciality
Code
Description
License number
State
385HR2050X
Respite Care Camp
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
NULL
Other
Enumeration date
10/19/2021
Last updated
10/28/2021
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