Organization
ALL GOD'S CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY DANTZLER R.N (OWNER)
(850) 533-6018
Entity
Organization
Contact information
Practice address
309 ALLEN AVE, NICEVILLE, FL 32578-2551
(850) 533-6018
Mailing address
309 ALLEN AVE, NICEVILLE, FL 32578-2551
(850) 533-6018
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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