Organization
HEART 2 LOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAUBREY L DEVINE (CEO)
(407) 489-4420
Entity
Organization
Contact information
Practice address
201 QUINCY ST, LAKELAND, FL 33815-1653
(407) 489-4420
Mailing address
201 QUINCY ST, LAKELAND, FL 33815-1653
(407) 489-4420
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919484
—
FL
Enumeration date
12/16/2022
Last updated
12/16/2022
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