Individual
CASSIDY HAYGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 ADAMS ST, AUBURNDALE, FL 33823-3622
(863) 393-6125
Mailing address
163 ADAMS ST, AUBURNDALE, FL 33823-3622
(863) 393-6125
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
05/17/2023
Last updated
06/13/2023
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