Organization
A GREATER PURPOSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISSA BURCHETTE (OWNER)
(252) 915-6194
Entity
Organization
Contact information
Practice address
3501 W VINE ST, SUITE 344, KISSIMMEE, FL 34741-4643
(407) 501-5839
Mailing address
3501 VINE STREET, SUITE 344, KISSIMEE, FL 34741-9998
(407) 501-5839
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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