Organization
ELITE BEHAVIOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO HUMBERTO BETANCOURT FERIA (OWNER)
(352) 364-7650
Entity
Organization
Contact information
Practice address
10838 WOODBROOK CIR, LAKELAND, FL 33809-1170
(813) 522-9625
Mailing address
10838 WOODBROOK CIR, LAKELAND, FL 33809-1170
(813) 522-9625
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
08/08/2023
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