Organization
ENVISION TOTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE ADAMS (PRESIDENT)
(561) 302-7778
Entity
Organization
Contact information
Practice address
1455 NE 2ND CT, BOCA RATON, FL 33432-1805
(561) 302-7778
Mailing address
1455 NE 2ND CT, BOCA RATON, FL 33432-1805
(561) 302-7778
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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