Organization
UNITED CEREBRAL PALSY OF N FL'S TENDER LOVE AND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR BREEDLOVE (EXECUTIVE DIRECTOR)
(850) 769-7960
Entity
Organization
Contact information
Practice address
1241 N EAST AVE, PANAMA CITY, FL 32401-4426
(850) 769-7960
(850) 769-1060
Mailing address
1241 N EAST AVE, PANAMA CITY, FL 32401-4426
(850) 769-7960
(850) 769-1060
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
60080969
FL
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240007300
—
FL
Enumeration date
01/23/2007
Last updated
01/07/2021
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