Organization
THE CHOSEN ONE 23:4 INC
Active
Other names
The chosen one 23:4 Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MARCILLA A DUPREE (OFFICER)
(407) 488-3121
Entity
Organization
Contact information
Practice address
1725 JORDAN DR, ROCKLEDGE, FL 32955-3022
(407) 488-3121
Mailing address
1725 JORDAN DR, ROCKLEDGE, FL 32955-3022
(407) 488-3121
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
03/03/2022
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