Organization
OVER THE TOP SERVICES AND CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UREKA D BLOUNT (CEO)
(904) 522-3118
Entity
Organization
Contact information
Practice address
345 PONCE HARBOR DR APT 104, SAINT AUGUSTINE, FL 32086-5115
(904) 522-3118
Mailing address
345 PONCE HARBOR DR APT 104, SAINT AUGUSTINE, FL 32086-5115
(904) 522-3118
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014116500
—
FL
Enumeration date
04/21/2022
Last updated
04/21/2022
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