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Organization

VICTORIA MYLES

Active
Other names
BEAUTIFUL LIVING
Organization subpart
No

Provider details

NPI number
Authorized official
MISS VICTORIA DENISE MYLES (OWNER)
(352) 835-2685
Entity
Organization

Contact information

Practice address
920 W FORT KING ST, OCALA, FL 34471-1504
(352) 835-2685
(866) 603-2295
Mailing address
920 W FORT KING ST, OCALA, FL 34471-1504
(352) 835-2685
(866) 603-2295

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
003313700
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003313700
MEDICAID WAIVER
FL
Enumeration date
07/13/2011
Last updated
07/13/2011
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