Organization
MCGILL CENTER FOR INDEPENDENT LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA ANN MCGILL BCBA (CEO)
(772) 559-7349
Entity
Organization
Contact information
Practice address
920 SOUTHLAKES WAY SW, VERO BEACH, FL 32968-7526
(772) 559-7349
Mailing address
920 SOUTHLAKES WAY SW, VERO BEACH, FL 32968-7526
(772) 559-7349
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018612500
—
FL
Enumeration date
04/15/2017
Last updated
04/15/2017
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