Organization
EMILIA'S DIRECT CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE TIBAUD (OWNER)
(407) 779-6708
Entity
Organization
Contact information
Practice address
3218 E COLONIAL DR RM 118, ORLANDO, FL 32803
(407) 779-6708
Mailing address
3218 E COLONIAL DR RM 118, ORLANDO, FL 32803-5179
(407) 779-6708
(407) 605-2753
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
FL
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020485500
—
FL
Enumeration date
08/25/2017
Last updated
07/21/2022
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