Organization
DEVEREUX FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IZELLA WALLS (THERAPIST)
(863) 221-5345
Entity
Organization
Contact information
Practice address
1850 OLYMPIAN WAY, WINTER HAVEN, FL 33881
(863) 595-0167
(866) 307-9194
Mailing address
1850 OLYMPIAN WAY, WINTER HAVEN, FL 33881-2161
(863) 595-0167
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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