Individual
MISS ANITA Y POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 W BRAINERD ST, PENSACOLA, FL 32501-6459
(850) 480-6687
Mailing address
PO BOX 17244, PENSACOLA, FL 32522-7244
(850) 619-8520
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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