Organization
I CAN LIVING & LEARING CENTER
Active
Organization
I CAN LIVING & LEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANIJA DARINKA CONSTANTARAS (EXECUTIVE DIRECTOR)
(954) 200-0902
Entity
Organization
Contact information
Practice address
2263 NW 2ND AVE STE 207, BOCA RATON, FL 33431-7471
(954) 200-0902
(561) 288-6539
Mailing address
PO BOX 812753, BOCA RATON, FL 33481-2753
(954) 200-0902
(561) 288-6539
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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