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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAURIE ANN MAYBERRY (OWNER/DIRECTOR)
(727) 321-7753
Entity
Organization

Contact information

Practice address
316 30TH ST W, BRADENTON, FL 34205-4225
(941) 749-5486
(941) 749-5486
Mailing address
316 30TH ST W, BRADENTON, FL 34205-4225
(941) 749-5486
(941) 749-5486

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
10/31/2007
Last updated
10/31/2007
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