Organization
BOBBIE DASHERCARE LLC
Active
Organization
BOBBIE DASHERCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNEN LASANE (OWNER)
(863) 608-1862
Entity
Organization
Contact information
Practice address
4006 GOLF VILLAGE LOOP APT 2, LAKELAND, FL 33809-4056
(863) 608-1862
Mailing address
4006 GOLF VILLAGE LOOP APT 2, LAKELAND, FL 33809-4056
(863) 608-1862
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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