Organization
AT YOUR SIDE HEALTH AND HUMAN SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEISHA WILLIAMS (CEO)
(772) 559-0111
Entity
Organization
Contact information
Practice address
2405 14TH AVE, VERO BEACH, FL 32960-3303
(772) 559-0111
Mailing address
2405 14TH AVE, VERO BEACH, FL 32960-3303
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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