Organization
OUR HOUSE OF SARASOTA COUNTY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRY JEAN CHEESEMAN (PRESIDENT)
(856) 404-2886
Entity
Organization
Contact information
Practice address
180 BROADWAY APT 207, ENGLEWOOD, FL 34223-5301
(856) 404-2886
Mailing address
180 BROADWAY APT 207, ENGLEWOOD, FL 34223-5301
(856) 404-2886
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
674054
ATN
—
Enumeration date
08/12/2017
Last updated
08/12/2017
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