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Organization

ENVISAGE ABUNDANCE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BERTRAM ANDREWS-POWLEY III (CEO AND FOUNDER)
(813) 516-6276
Entity
Organization

Contact information

Practice address
1417 TAMPA PARK PLAZA ST, TAMPA, FL 33605-4821
(813) 516-6276
Mailing address
PO BOX 310328, TAMPA, FL 33680-0328
(813) 516-6276

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251V00000X
Voluntary or Charitable Agency
252Y00000X
Early Intervention Provider Agency
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
07/17/2011
Last updated
07/17/2011
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