Organization
BOUNDLESS POTENTIALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY ELDER (PRESIDENT)
(407) 668-7346
Entity
Organization
Contact information
Practice address
427 S NEW YORK AVE, # 103, WINTER PARK, FL 32789-4277
(407) 668-7346
Mailing address
427 S NEW YORK AVE, # 103, WINTER PARK, FL 32789-4277
(407) 668-7346
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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