Organization
ROAD OPENER GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA VR KELLY (OWNER)
(954) 257-7112
Entity
Organization
Contact information
Practice address
377 GUADLUPE ST, HAINES CITY, FL 33844
(954) 257-7112
Mailing address
109 AMBERSWEET WAY # 336, DAVENPORT, FL 33897-8418
(954) 257-7112
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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