Organization
BREAKING CHANGE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYLOU HUGHLEY (COO)
(407) 844-0431
Entity
Organization
Contact information
Practice address
260 S CYPRESS WAY, CASSLEBERRY, FL 32707
(407) 844-0431
Mailing address
260 S CYPRESS WAY, CASSELBERRY, FL 32707-3812
(407) 844-0431
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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