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Organization

STANBACK ENTERPRISES LLC

Active
Parent organization
STANBACK ENTERPRISES LLC
Other names
Outside the Box Behavioral Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
STANBACK ENTERPRISES LLC
Authorized official
NIKEDA STANBACK (OWNER)
(267) 574-2457
Entity
Organization

Contact information

Practice address
4701 N FEDERAL HWY STE 460, POMPANO BEACH, FL 33064-6591
(954) 866-1430
Mailing address
4701 N FEDERAL HWY STE 460, POMPANO BEACH, FL 33064-6591
(954) 866-1430

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
03/26/2024
Last updated
03/26/2024
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