Organization
GROWING PAIN LLC
Active
Other names
Growing Pain LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWNERIE LANGFORD (OWNER)
(386) 585-2662
Entity
Organization
Contact information
Practice address
1488 LAGONI CIR, DAYTONA BEACH, FL 32117-1890
(386) 585-2662
(386) 200-6110
Mailing address
1488 LAGONI CIR, DAYTONA BEACH, FL 32117-1890
(386) 585-2662
(386) 200-6110
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102122700
—
FL
Enumeration date
11/13/2020
Last updated
11/13/2020
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