Organization
AT YOUR SIDE HEALTH & HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEISHA WILLIAMS (PRESIDENT)
(772) 559-0111
Entity
Organization
Contact information
Practice address
6025 RIDGE LAKE CIR, VERO BEACH, FL 32967-5095
(772) 559-0111
Mailing address
6025 RIDGE LAKE CIR, VERO BEACH, FL 32967-5095
(772) 559-0111
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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