Organization
HOLCOM INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBALLEE CHEUNG (PRESENT)
(954) 495-6771
Entity
Organization
Contact information
Practice address
11305 NW 38TH ST, CORAL SPRINGS, FL 33065-2746
(954) 757-9555
Mailing address
11305 NW 38TH ST, CORAL SPRINGS, FL 33065-2746
(954) 757-9555
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
252Y00000X
Early Intervention Provider Agency
—
—
310400000X
Assisted Living Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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