Organization
SPECIAL NEEDS RIDE WITH EASE & HORSES FOR OUR HEROES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORREN GARDNER PHD (CEO)
(941) 979-7428
Entity
Organization
Contact information
Practice address
2175 BEACON DR, PORT CHARLOTTE, FL 33952-5627
(941) 979-7428
Mailing address
2175 BEACON DR, PORT CHARLOTTE, FL 33952-1677
(941) 979-7428
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
N10000009604
FL
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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