Organization
STAGES OF GAINESVILLE
Active
Organization
STAGES OF GAINESVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA WILLIAMS (MANAGER)
(352) 246-3688
Entity
Organization
Contact information
Practice address
4522 NE 4TH RD, GAINESVILLE, FL 32641-1977
(352) 376-3383
(352) 872-5946
Mailing address
4522 NE 4TH RD, GAINESVILLE, FL 32641-1977
(352) 376-3383
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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