Organization
AB COMPASSIONATE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW BROKENBOROUGH (OWNER)
(321) 594-0057
Entity
Organization
Contact information
Practice address
1224 CARLSBAD PL, ORLANDO, FL 32808-7312
(321) 594-0057
Mailing address
5942 PARK HAMILTON BLVD APT 40, ORLANDO, FL 32808-4117
(321) 594-0057
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053
—
FL
Enumeration date
06/04/2022
Last updated
06/04/2022
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