Organization
FOREVER BLESSED DEVELOPMENTAL SERVICES, LLC
Active
Other names
Forever Blessed Developmental Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KENYATTA K LEACH (ADMINISTRATOR)
(352) 553-6204
Entity
Organization
Contact information
Practice address
45 DOGWOOD DRIVE LOOP, OCALA, FL 34472-5609
(352) 553-6204
Mailing address
45 DOGWOOD DRIVE LOOP, OCALA, FL 34472-5609
(352) 553-6204
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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