Organization
KATHLEEN ANDERSON COMPREHENSIVE WORK CENTER INC
Active
Other names
Seminole Work Opportunity Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HARRY POE (EXECUTIVE DIRECTOR)
(407) 699-4419
Entity
Organization
Contact information
Practice address
1095 BELLE AVE, CASSELBERRY, FL 32708-2961
(407) 699-4419
(407) 699-7967
Mailing address
1095 BELLE AVE, CASSELBERRY, FL 32708-2961
(407) 699-4419
(407) 699-7967
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024209896
FLORIDA MED WAIVER PROVIDER
FL
01
—
024209898
MED WAIVER PROVIDER
FL
Enumeration date
11/02/2010
Last updated
07/21/2022
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