# SPECIALNEEDS4SPECIAL PPL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992242812
- **Authorized official:** ELIZABETH JUNE DUNCAN (OWNER)
- **Authorized official phone:** (352) 442-4149

## Contact information

- **Practice address:** 12040 PITCAIRN ST, BROOKSVILLE, FL 34613-4724
- **Practice address phone:** (352) 442-4149
- **Practice address fax:** (352) 556-2350
- **Mailing address:** 12040 PITCAIRN ST, BROOKSVILLE, FL 34613-4724
- **Mailing address phone:** (352) 442-4149
- **Mailing address fax:** (352) 556-2350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 691661996 | FL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 691661996 | FL | Yes |

## Other

- **Enumeration date:** 01/30/2017
- **Last updated:** 01/30/2017