Organization
PROJECT STAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY KATHLEEN HENDERSON (DIRECTOR OF OPERATIONS)
(239) 229-6475
Entity
Organization
Contact information
Practice address
627 SE 30TH LN, CAPE CORAL, FL 33904-3532
(239) 229-6475
Mailing address
627 SE 30TH LN, CAPE CORAL, FL 33904-3532
(239) 229-6475
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
676168296
—
FL
Enumeration date
06/06/2008
Last updated
06/06/2008
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