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Organization

EXCEPTIONAL LIVING LLC

Active
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Organization

EXCEPTIONAL LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JESSICA MICHELINE DORICENT (OWNER)
(813) 465-9669
Entity
Organization

Contact information

Practice address
2508 W FLETCHER AVE, TAMPA, FL 33618-3253
(813) 465-9669
(813) 963-5155
Mailing address
2508 W FLETCHER AVE, TAMPA, FL 33618-3253

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
03/14/2018
Last updated
03/14/2018
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